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
Takes immediate action on poor performance
Provides ongoing feedback to co-workers on their development progress
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
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.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Motivates others to achieve or exceed goals
Completes a large volume of work.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Prepares for unexpected contingencies.
Takes the initiative to change the direction or course of events.
Goes above and beyond the stated goals.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Takes action without being asked.
Managing Risk	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks to retain the best and brightest employees.
Knows how to obtain desired results with minimal losses.
Responds appropriately to unexplained or unanticipated events.
Works within constraints of the organization.
Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains communication channels between parties in the negotiation.
Maintains good interpersonal relationships with representatives from the other party.
Able to clearly express thoughts and concerns.
Identifies verbal and nonverbal cues to help interpret actions and messages.
Is flexible in responses.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Communicates goals and objectives to employees.
Understands & contributes to development of strategic goals.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Looks for opportunities to enhance contributions to the bottom line.
Understands their role within the organization.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Makes plans and follows through.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Anticipates obstacles and ways to overcome them.
Works in an organized manner

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: