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
Views setbacks as opportunities to learn from.
Shares best practices with others and learns from others.
Pursues learning that will enhance job performance.
Takes charge of their training and skills enhancement.
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
Quickly acquire and apply new knowledge and skills when needed
Keep themselves up-to-date of technical/professional issues
Contributing fully to the extent of their skills
Seeks opportunities for professional development.
Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Keep staff informed about what is happening in the company
Takes responsibility for things that go wrong
Delegate tasks effectively
Makes you feel enthusiastic about your work
Is ready to offer help
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Can take on new assignments.
Accommodates changes as needed.
Adjusts plans to meet the needs of new constraints.
Able to step in and help co-workers when needed.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands the basic principles of research.
Verifies that information is accurate and updated.
Considers both risks and costs alongside the potential benefits and success rates when making decisions.
Determines if sources of information are reputable, reliable, and credible.
Checks that the information is both precise and up-to-date.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to develop, justify and present a budget.
Implements and uses performance measures.
Completes reports on-time.
Has strong technical/computer skills.
Accurately implements contract provisions.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates a framework to support innovation.
Develops effective solutions for viewing problems from a different point of view.
Shows flexibility and willingness to adapt to new approaches and changing market conditions.
Assigns responsibilities to individuals for creating innovative ideas/products.
Maximizes the alternative solutions to problems.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effectively organizes resources and plans
Assures [Company] principles are understood, employed & pursued.
Establishes goals and objectives.
Encourages me to take on greater responsibility.
Sets long-term and short-term goals.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands the needs of the customer.
Creates innovative solutions to meet customer needs.
Is committed to the customer's success.
Provides excellent service to customers.
Is pro-active in dealing with customers and addressing their needs.
Empowering Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages others to obtain necessary skills and training.
Recognizes the importance of a healthy work/life balance.
Values the input from others.
Encourages employees to take the initiative when responding to an issue.
Sets goals to allow the employee to have more autonomy over their work.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains a network of partners and suppliers to facilitate global operations.
Balances the strategic interests of those involved to maintain alliances.
Promotes awareness of interests in partnerships and networks.
Seeks an understanding of diverse functions within the Company.
Supports and encourages relationships that are created by diverse team members.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies areas of agreement and common ground to form basis of resolution.
Facilitates both parties in collaboratively seeking a compromise.
Tries to ensure that all basic needs are satisfied.
Encourages both sides to make compromises to resolve the conflict.
Ensures that the basic needs of each party are satisfied.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes plans to handle unforeseen events that could impact the achievement of strategic goals.
Sets strategic objectives to be achieved.
Evaluates and reviews the implementation of the strategic plan to ensure achievement of the objectives.
Modifies strategic decisions depending on changes in the business environment.
Identifies strengths that competitors would have trouble imitating.

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: