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
Seeks opportunities to grow in skills and knowledge.
Participates in regular training offered.
Builds on their strengths while addressing their weaknesses.
Pursues self-improvement through continual learning.
Grasps new ideas, concepts, technical, or business knowledge.
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.
Quickly acquire and apply new knowledge and skills when needed
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Seeks opportunities for continuous learning.
Keep themselves up-to-date of technical/professional issues
Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Keep staff informed about what is happening in the company
Is ready to offer help
Makes you feel enthusiastic about your work
Takes responsibility for things that go wrong
Sets an example for others to follow
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is aware of changes to the policies and procedures.
Continually trying to improve skills to remain current.
Handles unexpected events without a loss of productivity.
Able to adjust to changing environments.
Will stop what they are doing to help colleagues in need.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Balances risks and costs with the rewards and probabilities of success when decisions.
Identifies the root cause of a problem.
Analyzes data and information from several sources and arrives at logical conclusions.
Implements data validation techniques and methods.
Uses appropriate techniques to solve problems.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to develop, justify and present a budget.
Completes reports on-time.
Implements and uses performance measures.
Enthusiastic about taking on challenging projects.
Accurately implements contract provisions.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Fosters a creative and innovative work environment.
Challenges current procedures to develop other alternatives.
Builds upon the ideas and solutions of others.
Encourages open communication to ensure that all proposals are considered.
Finds creative ways to get things done with limited resources.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Organizes and schedules events, activities, and resources.
Able to organize work.
Sets long-term and short-term goals.
Communicates goals and objectives to employees.
Consistently provides me with timely feedback for improving my performance.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes sure their interests are aligned with the customer's interests.
Tailors innovative products for each customer.
Helps customers feel they are receiving services tailored specifically to their needs.
Ensures all customer commitments and requirements are met or exceeded.
Does not hesitate to address customer concerns or complaints.
Empowering Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Willing to share in the decision making process.
Demonstrates confidence in the abilities of subordinates.
Encourages others to obtain necessary skills and training.
Trusts employees to complete tasks assigned.
Trusts employees are able to complete assigned tasks.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Builds alliances between departments and teams.
Seeks an understanding of diverse functions within the Company.
Supports a partnering/networking culture.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Clearly expresses expectations to others.
Discusses conflict situations with supervisor.
Deals effectively with employee grievances.
Tries to understand others' point of view before making judgments
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 their role within the organization.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Communicates goals and objectives to employees.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
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: