Continuous 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.

---

Edit this Survey

Would you like to edit this survey? Click here to begin.

Continuous Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Uses engineering judgment to anticipate potential failures and implement preventive improvements.
Consistently prioritizes and invests personal effort in continuous improvement.
Demonstrates a strong commitment to continuous quality improvement.
Strives to operate at recognized best-practice levels.
Reinforces a first-time-right mindset among employees.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to understand others' points of view.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to express themselves clearly.
Is able to manage their own emotions.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Successful in resolving personnel conflicts.
Decides what supplies need to be purchased.
Maintains the confidence and trust of employees.
Provides guidance and support to help employees achieve their goals.
Sets the objectives to be completed for the shift.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...Produce Quality
Has great overall performance
Effectively organizes resources and plans
Listens and responds to issues and problems
Sets a high standard for job performance.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Integrates information from a variety of sources to develop new and creative solutions.
Adapts quickly to new situations.
Learns new skills to become competitive and contribute to the bottom line.
Able to respond to incidents without stopping the workflow.
Learns new skills to stay competitive in the workplace.
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ensures that changes in quality standards or procedures are communicated quickly and accurately.
Investigates critical incidents that impact quality.
Helps team members understand how to apply quality procedures correctly in real work situations.
Always strives to produce the highest quality work products.
Communicates with team members regarding best quality practices.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Proactively addresses crucial matters.
Efficiently completes tasks.
Usually works with a sense of urgency.
Utilizes project planning tools and shared calendars to keep tasks transparent and coordinated.
Combines tasks to save time.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ensures that employees are compensated fairly and in accordance with established policies.
Recognizes when a mistake is made and works to correct the issue.
Takes full responsibility for team's lack of progress.
Requires employees to submit monthly reports of the work they performed.
Takes responsibility for the team's actions and results.
Commitment	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Strengthens employee dedication to applying their skills in service of organizational goals.
Obtains individual commitment from team members for the initiatives.
Provides targeted training that equips employees with specific customer service techniques (e.g., active listening, problem-solving).
Committed to the team.
Involves employees in goal-setting discussions, fostering ownership and commitment for departmental objectives.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Provides constructive feedback to others.
Sets performance objectives for subordinates that encourages development opportunities.
Assesses employees' developmental needs.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Creates a work environment that fosters positive feedback to employees.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Anticipates obstacles and ways to overcome them.
Sets the appropriate sequence of tasks to ensure completion of the project.
Develops a strategic plan to reduce costs in the department.
Prioritizes plans based on a cost/benefit analysis.
Creates a timeline to specify when each phase of the project should be concluded.

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: