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
Works to identify root causes of performance problems
Adapts coaching and mentoring approach to meet the style or needs of individuals
Sets and clearly communicates expectations, performance goals, and measurements to others
Takes immediate action on poor performance
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
Seeks and utilizes opportunities for continuous learning and self-development.
Displays high energy and enthusiasm on consistent basis.
Completes work on time
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Conveys a sense of urgency about addressing problems and opportunities
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes the initiative to complete tasks ahead of schedule.
Immediately informs the HR Department of any personnel complaints or issues.
Seizes upon chances to improve the department's prospects.
Guides strategic initiatives to advance the department/organization.
Anticipates problems and initiates plans to address them.
Managing Risk	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Knows how to obtain desired results with minimal losses.
Accurately perceives potential risks in the workplace.
Maintains open communication with other departments.
Performs a risk analysis as needed.
Has the knowledge and skills to accurately identify risks in the workplace.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Establishes good working relationships with others.
Able to influence others to accept certain positions.
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Stays calm and focuses on the core issues to be discussed.
Able to clearly express thoughts and concerns.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to decline a poor strategy by proposing alternate strategies.
Looks for opportunities to enhance contributions to the bottom line.
Understands & contributes to development of strategic goals.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Communicates goals and objectives to employees.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Anticipates obstacles and ways to overcome them.
Works in an organized manner
Effectively uses logistics planning to reduce supply delays.
Accurately estimates the amount of materials/supplies needed for the project.
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: