Creativity - 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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Creativity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is creative and inspirational.
Is creative.
Creates a lot of new ideas.
Inspires creativity in their team.
Adds value to the department/organization.
Professional Development	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Quickly acquire and apply new knowledge and skills when needed
Contributing fully to the extent of their skills
Keep themselves up-to-date of technical/professional issues
Seeks opportunities for professional development.
Juggling Multiple Responsibilities	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Begins tasks as soon as possible.
Assigns tasks based on skills of team members.
Prioritizes tasks for efficiency.
Ensures that assignments are prioritized according to the needs of the department/company.
Organizes tasks for the most efficient order of completion.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Assures [Company] principles are understood, employed & pursued.
Communicates goals and objectives to employees.
Ability to establish realistic goals.
Encourages me to take on greater responsibility.
Establishes goals and objectives.
Recognition	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Reinforces and rewards employees for accomplishing necessary goals.
Says "thank you" to show appreciation for work of others.
Recognizes team members who offer a significant contribution to a project.
Recognizes the abilities and skills of self and others
Compliments other people when they do good work
Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Respects the opinions of other employees.
Includes others in the decision making processes.
Forms working relationships with employees from other departments.
Able to see issues from others' perspectives.
Works across boundaries within the organization.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Expresses loyalty and dedication to [Company] in interactions with others.
Follows existing procedures and processes.
Understands the "basics" as to how [Company] functions/operates.
Attends [Company] gatherings and social events.
Impresses upon others the important aspects of [Company].
Global Perspective	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Exemplifies the skills of a global worker.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
Attends training seminars and conferences to increase skills in working with others globally.
Applies knowledge of overseas markets.
Engages in problem solving with individuals outside of the country.

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

    -Excellent -Good -Average -Poor




42. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
43. 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?
    
    
    
44. What changes do you see [Company] making in order to raise the standards?
    
    
    
45. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
46. What do you like best about working for [Company]?
    
    
    
47. 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: