Decision Making - 360 Degree Feedback Survey Sample #4

Dear Employee:

Welcome to our 360-Degree Feedback self-assessment questionnaire. Our objective is to provide feedback which will help advance your leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify areas where you are doing well and where you have opportunities to do better. Others will also complete the questionnaire to provide you with feedback.

We have developed this survey with questions tailored for your position in the department to provide you with an opportunity to rate many facets of your leadership performance.

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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Decision Making	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I understand how my decisions will affect others.
You understand factors are important for deciding if a decision is "worth it"?
I identify the parameters impacting the decision.
You examine relevant factors needed to make a decision.
I consider the ethical implications of decisions.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I utilize disruptive innovation to help managers transform conventional business models, making products and services more accessible and affordable.
I coordinate the activities of the innovation steering committee.
You facilitate acceptance of new ideas.
I customize novel ideas to better address customer needs and preferences.
You offer solutions to problems when talking with clients.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You can adjust tactics and strategies.
You recognize and implement changes to enhance efficiency and effectiveness.
You are able to adjust plans to meet new situations.
You work effectively with various personalities of team members.
You are aware of changes to the policies and procedures.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You identify the root cause of a problem.
You implement data validation techniques and methods.
You identifiy opportunities for progress and innovation.
You ask the "right" questions to size up or evaluate situations.
You identify problems and issues needing resolution.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You complete work on time
You convey a sense of urgency about addressing problems and opportunities
You encourage risk taking and experimentation to improve performance
You identify ways to simplify work processes and reduce cycle times
You display high energy and enthusiasm on consistent basis.
Fiscal Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You develop budgets and plans for various programs and initiatives.
You develop of the department's annual budget.
You monitor spending.
You monitor expenses and verify the need for items purchased.
You ensure others follow the correct rules and regulations on fiscal matters.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are able to focus on a task even when working alone.
You take immediate action toward goals.
You maintain persistence and dedication to achieving results.
You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
You create a sense of urgency among the store team members to complete activities, which drive sales.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You develop the skills and capabilities of others.
You coach employees in how to strengthen knowledge and skills to improve work performance.
You conduct regular performance appraisals and feedback.
You address employee behavior problems effectively.
You help employees to understand responsibilities, authority, and expectations.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I initate collaborative processes to reduce conflict.
I attempt to accommodate vital interests of those who felt alienated or suffered injustice.
You facilitate dialog between team members.
I facilitate collaborative processes to reduce conflict.
I seek to achieve mutually acceptable outcomes.
Recognition	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You readily share credit and gives others opportunity for visibility.
You make people around them feel appreciated and valued.
You offer recognition in a timely manner.
You recognize the abilities and skills of self and others
You say "thank you" to show appreciation for work of others.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I value the diverse perspectives from others.
You accept individual differences.
You maintain an inclusive work environment that maximizes the talents of others in achieving goals.
I am willing to include individuals with different cultural backgrounds on the team.
You are curious and willing to ask questions about the cultural differences in the workplace.

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

    -Excellent -Good -Average -Poor




57. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
58. 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?
    
    
    
59. What changes do you see [Company] making in order to raise the standards?
    
    
    
60. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
61. What do you like best about working for [Company]?
    
    
    
62. 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: