Coworker Development- 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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Co-worker Development	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Gives others development opportunities through project assignments and increased job responsibilities
Takes immediate action on poor performance
Adapts coaching and mentoring approach to meet the style or needs of individuals
Sets and clearly communicates expectations, performance goals, and measurements to others
Provides ongoing feedback to co-workers on their development progress
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Motivates others to achieve or exceed goals
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Seeks and utilizes opportunities for continuous learning and self-development.
Displays high energy and enthusiasm on consistent basis.
Completes work on time
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Engages with new customers immediately.
Seizes upon chances to improve the department's prospects.
Helps the department take the initiative to create new solutions.
Takes corrective action to address performance deficiencies/issues.
Initiates actions that impact the department/company.
Managing Risk	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Determines the risk tolerance of the company.
Determines the amount of deviation from the plan that will be tolerated.
Determines the impact of specific risks on infrastructure.
Evaluates the probability of a risk event occurrence.
Takes steps to contain the costs of responding to such events.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Changes communication styles to meet the listener's needs.
Adjusts methods to suit the current situation.
Fully grasps both party's interests and options.
Collects information from various stakeholders, each with their own viewpoints, data, and interests.
Controls emotional responses to maintain a productive atmosphere.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Avoids complacency and strives to be ahead of changes in the business environment.
Able to decline a poor strategy by proposing alternate strategies.
Identifies bottlenecks in the production process and develops strategies to correct these issues.
Mobilizes change through executive leadership to implement corporate strategies.
Develops a strategic focus on internal factors to improve efficiency or conserve limited resources.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Notifies staff when the plan is not on schedule.
Anticipates obstacles and ways to overcome them.
Creates a timeline to specify when each phase of the project should be concluded.
Develops strategic plans for the company/organization.
Makes strategic and tactical decisions to guide the logistics process.

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

    -Excellent -Good -Average -Poor




37. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
38. 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?
    
    
    
39. What changes do you see [Company] making in order to raise the standards?
    
    
    
40. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
41. What do you like best about working for [Company]?
    
    
    
42. 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: