Developing Others- 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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Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You assign tasks and responsibilities to develop skills of others.
You support the successes of other employees.
You set performance objectives for subordinates that encourages development opportunities.
You assess employees' developmental needs.
You are open to receiving feedback.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are open to the suggestions from others.
You promote training and development opportunities to enhance job performance.
You analyze processes to determine areas for improvement.
You look for ways to improve work processes and procedures.
You look for ways to expand and learn new job skills.
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You reward employees for exceeding goals.
You align individual and team goals with the organization's goals and objectives.
I set and maintain high standards for myself and others.
You continuously measures performance and provides feedback to employees regularly.
You ensure employees are trained in areas where performance may be lacking.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You display high energy and enthusiasm on consistent basis.
You complete work on time
You encourage risk taking and experimentation to improve performance
You identify ways to simplify work processes and reduce cycle times
You seek and utilize opportunities for continuous learning and self-development.
Punctuality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You invoice clients on a timely basis.
You maintain an efficient schedule of activities.
You conduct appointments at scheduled start time.
You start meetings on time.
You respond to requests for information in a timely manner.
Establishing Focus/Direction	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You help guide employees with prioritizing tasks.
You function well under stress, deadlines, and/or significant workloads.
You are excellent at managing time.
You make sure that employees understand how their work relates to organizational goals.
You align the department's goals with the goals of the organization.
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You encourage others to achieve high quality standards.
You encourage others to produce the highest quality work products.
You analyze what occurred and re-adjusts accordingly when goals are not met.
You reflect on what is working and what could be improved.
You hold employees accountable for your quality of work.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I respond to the needs of the customer.
You develop good rapport and trust with the customer.
I create new and innovative products for customers.
You ensure customers are comfortable with the services provided.
You ensure customers' expectations are met or exceeded.

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: