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
Takes the initiative to learn new skills.
Pursues learning that will enhance job performance.
Is open to new ideas and concepts.
Improves on their skill sets.
Pursues self-improvement through continual learning.
Professional Development	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Allows employees to fully participate in employee training and professional development.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Encourages employees to take courses relevant to their job.
Keep themselves up-to-date of technical/professional issues
Seeks opportunities for professional development.
Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is ready to offer help
Keep staff informed about what is happening in the company
Sets an example for others to follow
Delegate tasks effectively
Takes responsibility for things that go wrong
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is flexible and open minded in dealing with others.
Able to work effectively with new people and new teams.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Recognizes and implements changes to enhance efficiency and effectiveness.
Able to quickly learn new ways of performing their job.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies opportunities for progress and innovation.
Identifies problems and issues needing resolution.
Prioritizes various actions to be taken when solving a problem.
Analyzes data and information from several sources and arrives at logical conclusions.
Implements data validation techniques and methods.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Has strong technical/computer skills.
Implements and uses performance measures.
Able to develop, justify and present a budget.
Accurately implements contract provisions.
Strong organizational skills to keep the workspace and department in order
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Searches for opportunities and innovative ways to improve the organization.
Analyzes current procedures and identifies opportunities for improvement.
Encourages open communication to ensure that all proposals are considered.
Suggests new ideas at meetings.
Offers constructive improvements to existing systems.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Consistently provides me with timely feedback for improving my performance.
Encourages me to take on greater responsibility.
Works toward achieving established goals and objectives.
Establishes goals and objectives.
Able to organize work.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops good rapport and trust with the customer.
Maintains positive customer relationships.
Ensures all customer commitments and requirements are met or exceeded.
Considers customers point of view when making decisions.
Does not hesitate to address customer concerns or complaints.
Empowering Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Allows individuals to be responsible for their decisions.
Sets clear goals for others to accomplish.
Encourages others to obtain necessary skills and training.
Encourages employees to solve problems on their own.
Avoids micromanaging their employees.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Partners with peers to obtain influence within the Company.
Collaborates with others to accomplish goals and objectives.
Creates the conditions for partnerships to grow and develop.
Builds alliances between departments and teams.
Supports a partnering/networking culture.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps employees to think through alternative ways to resolve conflict situations.
Discusses conflict situations with supervisor.
Deals effectively with employee grievances.
Clearly expresses expectations to others.
Assists team members by helping them see the other point of view.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands & contributes to development of strategic goals.
Able to decline a poor strategy by proposing alternate strategies.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Communicates goals and objectives to employees.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.

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: