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.

---

Continual Learning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets relevant learning objectives and goals.
Seeks opportunities to grow in skills and knowledge.
Shares best practices with others and learns from others.
Pursues self-improvement through continual learning.
Takes the initiative to learn new skills.
Professional Development	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks opportunities for continuous learning.
Encourages employees to take courses relevant to their job.
Allows employees to fully participate in employee training and professional development.
Seeks opportunities for professional development.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes you feel enthusiastic about your work
Delegate tasks effectively
Keep staff informed about what is happening in the company
Sets an example for others to follow
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.
Adjusts to the new vision and mission of the company.
Is aware of changes to team personnel.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Able to step in and help co-workers when needed.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Uses appropriate techniques to solve problems.
Identifies the root cause of a problem.
Identifies opportunities for progress and innovation.
Selects the appropriate techniques for analysis.
Identifies problems and issues needing resolution.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes reports on-time.
Able to develop, justify and present a budget.
Has strong technical/computer skills.
High attention to detail.
Enthusiastic about taking on challenging projects.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Participates in cross-functional innovation teams.
Challenges current procedures to develop other alternatives.
Supports changes to the standard way of doing things.
Generates alternative solutions to problems and challenges.
Encourages open communication to ensure that all proposals are considered.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effectively organizes resources and plans
Consistently provides me with timely feedback for improving my performance.
Organizes and schedules events, activities, and resources.
Ability to establish realistic goals.
Encourages me to take on greater responsibility.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Follows up with any unanswered questions from the customer.
Is above average in addressing the needs of the customers.
Competent in managing customer projects.
Meets with customers on a regular basis.
Identifies opportunities that will enhance the customer's experience.
Empowering Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Recognizes and rewards employees who make important decisions and take action when necessary.
Recognizes the contributions that others make to the department.
Willing to share in the decision making process.
Allows individuals to be responsible for their decisions.
Encourages employees to take the initiative when responding to an issue.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Collaborates with other departments to streamline and improve workflow efficiency.
Successfully identifies complementary and compatible strategic partners with colleagues in the industry.
Engages in collaborative training sessions or workshops to build skills across organizations.
Creates joint ventures with others to create new entities to pursue a common goal.
Facilitates communication with others in the company.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Achieves mutually acceptable solutions through collaborative efforts by both parties.
Ensures that all team members feel respected and heard.
Guides others toward establishing strong relationships.
Persuades others to accept ideas that may be difficult and uncomfortable.
Explores the feasibility of alternative solutions to resolve conflicts.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Gives adequate consideration to the time and resources available.
Develops strategies to effectively use company resources and exploit potential opportunities.
Avoids complacency and strives to be ahead of changes in the business environment.
Makes strategic decisions that take into account a dynamic situation.
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: