Continual Improvement - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team



Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

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Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand and learn new job skills.
Looks for ways to expand current job responsibilities.
Analyzes processes to determine areas for improvement.
Open to the suggestions from others.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to understand others' points of view.
Is able to express themselves clearly.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Accurately perceives the emotional reactions of others.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets clear expectations for acceptable performance.
Coaches subordinates in how to make good decisions.
Is able to manage emotions during difficult times.
Facilitates team members working well together.
Successfully mediates conflicts between employees.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to organize work.
Shown significant improvement in job performance.
...Produce Quality
Effectively organizes resources and plans
...Overall Performance
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adapts quickly to new situations.
Able to work effectively with new people and new teams.
Works effectively with various personalities of team members.
Able to adapt to changes in technology and processes.
Adjusts tactics and strategies.
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adjusts processes or procedures to improve quality results.
Develops measures of the success of quality initiatives.
Provides regular and timely feedback on quality levels.
Always strives to produce the highest quality work products.
Leads the department in quality improvement initiatives.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes work on a timely basis.
Allows for time buffers between tasks so that the schedule does not become delayed due to unforeseen circumstances.
Sustains high productivity levels throughout the day.
Delegates simple tasks to employees so the manager can focus on more complex tasks.
Is concerned about adhering to the schedule.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Documents performance goals through an individual development plan.
Consistently follows through on commitments and promises.
Accepts accountability for their actions and results.
Takes ownership of problems to find the best solutions.
Expects employees to account for their actions and performance.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains persistence and dedication to achieving results.
Coordinates all department activities into a cohesive team effort.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Able to focus on a task even when working alone.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Provides constructive feedback to others.
Is open to receiving feedback.
Sets performance objectives for subordinates that encourages development opportunities.
Creates a work environment that fosters positive feedback to employees.
Recognizes and celebrates accomplishments of others.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Assesses the potential impact of changes to the strategic plan.
Open to input from others into the plan for the project.
Always has a "Plan-B" ready if needed.
Is good at planning for the "unexpected".
Delegates role to team members to accomplish goals.

56. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




57. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
58. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    
59. What changes do you see [Company] making in order to raise the standards?
    
    
    
60. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
61. What do you like best about working for [Company]?
    
    
    
62. What do you like least about working for [Company]? How could it be improved?
    
    
    
93. Use the space below to enter any final comments you would like to be noted: