Continuous Improvement - 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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Continuous Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Collaborates with upstream and downstream partners to optimize end-to-end workflow performance.
Establishes a culture of high quality.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Holds regular Critical Incident interviews/meetings to reduce errors and losses.
Designs and executes experiments to determine the most effective operating conditions.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to control their own emotions.
Is able to express themselves clearly.
Able to understand others' points of view.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is attentive to emotional cues and interprets others' feelings correctly.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Communicates equally well with all employees.
Promotes teamwork and cooperation within the department.
Offers constructive feedback to facilitate performance improvement.
Communicates on a daily basis with the team at the start of each shift.
Others emulate this supervisor's enthusiasm for work.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to organize work.
Sets a high standard for job performance.
Has great overall performance
Effective in performing his/her job.
Works effectively in the department.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Flexible and adaptable when confronted with unexpected changes.
Successfully handles the implementation of the reorganization.
Able to work on various customer accounts which have different needs/goals.
Able to work with individuals in the department who have different personalities and working styles.
Able to adjust to changing environments.
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Keeps precise records regarding quality specs and performance.
Effectively works with Quality Control (QC) engineers.
Maintains detailed instructions to ensure consistency and quality in the production line.
Invests time in reviewing and refining work, even when deadlines are tight, to uphold excellence.
Encourages others to produce the highest quality work products.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maximizes time management by multitasking.
Uses limited time efficiently.
Delegates routine tasks to team members, allowing the manager to concentrate on more strategic or complex responsibilities.
Uses time efficiently to achieve higher productivity.
Sets clearly defined goals.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Follows through on commitments made.
Defines roles, rights, and responsibilities of the team.
Welcomes the responsibility for meeting the broad range of needs of stakeholders and clients.
Chooses integrity over convenience.
Takes personal responsibility for the quality of their work.
Commitment	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Actively engages each team member to ensure they personally endorse the initiative.
Holds self and others accountable for staying focused on agreed deliverables.
Champions organizational priorities by modeling commitment and accountability.
Elevates customer experiences by cultivating employee expertise and loyalty to organizational goals.
Is committed to the process even if the results are not registered for some time.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates opportunities for professional development.
Encourages employees through recognition of positive changes in behavior.
Is open to receiving feedback.
Sets performance objectives for subordinates that encourages development opportunities.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets the appropriate sequence of tasks to ensure completion of the project.
Effectively uses logistics planning to reduce supply delays.
Understands what materials will be required to successfully implement the plan.
Works in an organized manner
Develops proper plans to ensure seamless flow of materials through logistics.

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

    -Excellent -Good -Average -Poor




57. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
58. 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?
    
    
    
59. What changes do you see [Company] making in order to raise the standards?
    
    
    
60. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
61. What do you like best about working for [Company]?
    
    
    
62. 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: