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
Sets and clearly communicates expectations, performance goals, and measurements to others
Provides ongoing feedback to co-workers on their development progress
Works to identify root causes of performance problems
Gives others development opportunities through project assignments and increased job responsibilities
Takes immediate action on poor performance
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes work on time
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Encourages risk taking and experimentation to improve performance
Seeks and utilizes opportunities for continuous learning and self-development.
Completes a large volume of work.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes the initiative to solve pressing issues.
Immediately works on solving problems.
Looks for opportunities to move projects forward.
Acts independently to solve pressing needs.
Takes on additional tasks without being asked or told to do so.
Managing Risk	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies and mitigates risks while making informed, strategic decisions.
Responds appropriately to unexplained or unanticipated events.
Understands how to meet regulatory compliance.
Uses Monte Carlo Risk Simulations and decision analytics to create the best possible strategic decisions.
Develops policies to address risk situations in the workplace.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains communication channels between parties in the negotiation.
Prepares thoroughly by analyzing and understanding each party's interests, alternatives, and options.
Able to control their emotional responses and correctly gauge the emotions of others.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Changes communication styles to meet the listener's needs.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies business strategies to strengthen competitive capabilities.
Develops high-level strategic planning models to identify opportunities to improve the company.
Develops a strategic plan for adapting the organization to better respond to external changes in the marketplace.
Implements and executes the company's strategy for advancing production capabilities.
Avoids complacency and strives to be ahead of changes in the business environment.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Establishes and monitors timeframes and timelines.
Encourages others to follow the plan.
Prioritizes tasks and allocates resources.
Develops plans to ensure the smooth operation of the supply chain.
Assigns the right tasks to the right people and holds them accountable.

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: