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 define the parameters that will impact the decision making process.
You determine the costs and potential benefits of decisions.
You seek input from key people who should be involved in, or will be affected by, decisions
You coach team members individually when "poor" decisions are made and helps them see what could have been done differently
You have a good rapport other people which is helpful in making decisions on the team.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You develop new products and services.
You search for opportunities and innovative ways to improve the organization.
You build upon the ideas and solutions of others.
You solve problems with insight and understanding.
You suggest new ideas at meetings.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You can handle unexpected events without a loss of productivity.
You are able to adjusts tactics when things are not working as expected.
You adapt quickly to new situations.
You adapt to changes in team membership.
You are flexible and open minded in dealing with others.
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 select the appropriate techniques for analysis.
You prioritize various actions to be taken when solving a problem.
You analyze issues and reduce them to their component parts.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You complete work on time
You seek and utilize opportunities for continuous learning and self-development.
You motivate others to achieve or exceed goals
You encourage risk taking and experimentation to improve performance
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 provide budgeting and accounting support to the Company.
You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.
You are effective in using company's resources.
You keep excellent records for financial transparency.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are committed to the team.
You maintain persistence and dedication to achieving results.
You coordinate all department activities into a cohesive team effort.
You take immediate action toward goals.
You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You help employees to maintain high personal standards.
You help employees to understand responsibilities, authority, and expectations.
You develop the skills and capabilities of others.
You provide clear, motivating, and constructive feedback.
You address employee behavior problems effectively.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You identify and takes steps to prevent potential confrontations.
You clearly express expectations to others.
You try to understand others' point of view before making judgments
You help employees to think through alternative ways to resolve conflict situations.
You discuss conflict situations with supervisor.
Recognition	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You recognize individuals for a specific outstanding achievement.
You readily share credit and gives others opportunity for visibility.
You make people around them feel appreciated and valued.
You say "thank you" to show appreciation for work of others.
You find opportunities to recognize others.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You communicate with others without the influence of racism.
I recognize individual and cultural differences.
I seek opportunities to learn about the other cultural backgrounds of colleagues.
You treat others with dignity and respect.
I participate in cultural training sessions/classes.

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: