Continual Learning - 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 Learning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Shares best practices with others and learns from others.
Improves on their skill sets.
Participates in regular training offered.
Seeks opportunities to grow in skills and knowledge.
Pursues self-improvement through continual learning.
Professional Development	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Keep themselves up-to-date of technical/professional issues
Seeks opportunities for professional development.
Contributing fully to the extent of their skills
Quickly acquire and apply new knowledge and skills when needed
Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Keep staff informed about what is happening in the company
Sets an example for others to follow
Delegate tasks effectively
Is ready to offer help
Takes responsibility for things that go wrong
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Continually trying to improve skills to remain current.
Is open to changes in policies and procedures.
Easily accepts new responsibilities.
Adjusts plans to meet new situations.
Is open to new ideas and innovations.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements data validation techniques and methods.
Identifies opportunities for progress and innovation.
Analyzes issues and reduces them to their component parts.
Identifies problems and issues needing resolution.
Prioritizes various actions to be taken when solving a problem.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes reports on-time.
Has strong technical/computer skills.
Able to develop, justify and present a budget.
High attention to detail.
Implements and uses performance measures.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Challenges current procedures to develop other alternatives.
Implements best practices within the department.
Searches for opportunities and innovative ways to improve the organization.
Finds creative ways to get things done with limited resources.
Solves problems with insight and understanding.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Consistently provides me with timely feedback for improving my performance.
Sets long-term and short-term goals.
Establishes goals and objectives.
Encourages me to take on greater responsibility.
Organizes and schedules events, activities, and resources.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ensures customers are comfortable with the services provided.
Consistently models positive customer service attitudes.
Is committed to resolving customer issues in a positive way.
Ensures customers' expectations are met or exceeded.
Provides a responsive service that meets the needs of customers.
Empowering Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages employees to take the initiative when responding to an issue.
Gives employees input into the decision making process.
Empowers employees to structure their work hours to maximize their productivity.
Values the expertise that others bring to the team.
Expresses confidence in the abilities of others.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports and encourages relationships that are created by diverse team members.
Partners with peers to obtain influence within the Company.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Promotes the understanding of how the department affects the organization overall.
Seeks an understanding of diverse functions within the Company.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies and takes steps to prevent potential confrontations.
Clearly expresses expectations to others.
Deals effectively with employee grievances.
Helps employees to think through alternative ways to resolve conflict situations.
Tries to understand others' point of view before making judgments
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes strategic changes to stay ahead of changes in the business environment.
Able to formulate strategy at the corporate level.
Successfully implements a strategic plan.
Effective in strategy formulation and execution.
Exhibits a strategic orientation to identify and capitalize on opportunities to advance the organization.

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

    -Excellent -Good -Average -Poor




67. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    


68. 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?
    
    
    


69. What changes do you see [Company] making in order to raise the standards?
    
    


70. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    


71. What do you like best about working for [Company]?
    
    


72. 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: