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
Provides ongoing feedback to co-workers on their development progress
Takes immediate action on poor performance
Sets and clearly communicates expectations, performance goals, and measurements to others
Works to identify root causes of performance problems
Adapts coaching and mentoring approach to meet the style or needs of individuals
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Displays high energy and enthusiasm on consistent basis.
Completes a large volume of work.
Seeks and utilizes opportunities for continuous learning and self-development.
Identifies ways to simplify work processes and reduce cycle times
Motivates others to achieve or exceed goals
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Anticipates problems and initiates plans to address them.
Initiates draft reports for consideration.
Quickly comes to the aid of those who may need help.
Gladly seeks additional responsibilities.
Capitalizes on opportunities as they become available.
Managing Risk	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates dynamic and responsive enterprise risk management processes.
Quantifies current business practices to make better informed decisions.
Takes steps to minimize the impact/damage of the risk events.
Tracks and monitors incidents that may increase the risk of adverse consequences.
Creates a level of resilience in the organization.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Establishes clear communications to avoid misunderstandings.
Is resolute when stating priorities and non-negotiables.
Engages in questioning to obtain necessary information and examine various alternatives.
Able to express themselves in a clear, convincing, and logical manner.
Identifies verbal and nonverbal cues to help interpret actions and messages.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Successfully implements a strategic plan.
Identifies and addresses strategic risks impacting operations.
Understands & contributes to development of strategic goals.
Makes strategic changes to stay ahead of changes in the business environment.
Looks for opportunities to enhance contributions to the bottom line.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Open to input from others into the plan for the project.
Reorders the schedule of events to maximize attendance/efficiency.
Assigns the right tasks to the right people and holds them accountable.
Anticipates challenges and has plans to overcome them.
Develops a strategic plan to reduce costs in the department.

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: