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
You coach team members individually when "poor" decisions are made and helps them see what could have been done differently
You come across as confident, decisive, and resilient
You are firm in your decision and not easily influenced by the whims of others.
You assess the risks, benefits, and potential impact of a number of options when deciding a course of action
I have enough self-control to avoid making impulsive decisions.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You create improved methods or solutions for meeting goals and objectives.
You encourage open communication to ensure that all proposals are considered.
You build upon the ideas and solutions of others.
You develop new products and services.
You implement best practices within the department.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are able to adjust to changes as needed.
You are able to adjust to the new vision and mission of the company.
I embrace change and foster an open-minded environment.
You are open to changes in policies and procedures.
You are proactive and takes steps to prepare for changes in the workplace.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You balance risks and costs with the reward and probabilities of success when decisions.
You select the appropriate techniques for analysis.
You analyze issues and reduce them to their component parts.
You identifiy opportunities for progress and innovation.
You implement data validation techniques and methods.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You coach others to foster an environment which can adapt quickly and willingly to rapid change.
You seek and utilize opportunities for continuous learning and self-development.
You project a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
You display high energy and enthusiasm on consistent basis.
You encourage risk taking and experimentation to improve performance
Fiscal Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You develop of the department's annual budget.
You monitor expenses and verify the need for items purchased.
You keep excellent records for financial transparency.
You monitor spending.
You are effective in using company's resources.
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 maintain persistence and dedication to achieving results.
You are committed to the team.
You are willing to do whatever it takes-not afraid to have to put in extra effort.
You coordinate all department activities into a cohesive team effort.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You provide clear, motivating, and constructive feedback.
You address employee behavior problems effectively.
You meet regularly with employees to coach them on areas that will enhance your performance
You help employees to understand responsibilities, authority, and expectations.
You develop the skills and capabilities of others.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You persuade others to accept personal transformation.
I see conflicts as chances to develop innovative and effective solutions.
I identify who holds the authority to make decisions.
You work with others as needed to facilitate resolution of conflicts.
I actively engage both parties to voluntarily collaborate and resolve their differences.
Recognition	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You compliment other people when they do good work
You find opportunities to recognize others.
You recognize individuals for a specific outstanding achievement.
You let employees know when they have done well
You offer recognition in a timely manner.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You understand how implicit biases can affect decisions, communication and productivity.
You are sensitive to the similarities and differences that exist between cultures.
I function effectively within various cultural contexts.
I seek to reduce obstacles in communication that might arise from cultural differences.
You value the opinions of diverse groups and individual.

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: