Critical Thinking- 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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Critical Thinking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Evaluates data against expectations to surface gaps, inconsistencies, or opportunities.
Engages in ongoing reflection to refine decision-making processes and improve future outcomes.
Supports interpretations with relevant facts, trends, or statistical evidence.
Creates space for dialogue that challenges assumptions and broadens perspectives.
Tests ideas against evidence rather than accepting them at face value.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adapts quickly to new situations.
Adjusts to new plans and procedures.
Adjusts tactics when things are not working as expected.
Flexible in adapting to dynamic situations.
Adapts to new environments.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Reduces uncertainty in the department through clear planning and schedules.
Adjusts plans as needed according to situational/strategic changes.
Determines the allocation of funds based on plans for future development.
Understands what materials will be required to successfully implement the plan.
Develops an effective plan to guide the project.
Feedback	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Initiates feedback conversations promptly following key events or milestones.
Adheres to all deadlines in the on-line feedback process.
Ensures that subordinates act on the feedback they receive from others.
Bases feedback on observable/observed behaviors or specific instances.
Assists employees in using their feedback to create clear and manageable goals that align with their professional development plans.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Fosters a diverse workforce free from discrimination and harassment.
Recognizes how cultural context influences employee motivation, communication, and collaboration.
Demonstrates humility when learning about unfamiliar cultural customs or beliefs.
Hires individuals with different cultural backgrounds for the department.
Participates in or facilitates cultural sensitivity training for self and team.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies and addresses safety needs.
Ensures that all supervisors are aware of regulatory and compliance measures.
Identifies predictable hazards in the workplace.
Mitigates hazards and safety issues that arise.
Ensures compliance with safety regulations.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Builds trust with colleagues and coworkers.
Develops key business contacts at other companies.
Utilizes contacts to build and strengthen internal support bases.
Actively listens to understand different perspectives and identify common interests.
Balances the strategic interests of those involved to maintain alliances.
Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Treats others with respect and dignity.
Consistently demonstrates ability and willingness to trust others.
Helpful
Supports the efforts of other employees in implementing solutions to problems.
Able to see issues from others' perspectives.

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: