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 are open to receiving feedback.
You create a work environment that fosters positive feedback to employees.
You provide constructive feedback to others.
You assign tasks and responsibilities to develop skills of others.
You assess employees' developmental needs.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You analyze processes to determine areas for improvement.
You look for ways to improve work processes and procedures.
You promote training and development opportunities to enhance job performance.
You are open to the suggestions from others.
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 provide employees with necessary resources to accomplish your goals.
You present performance feedback in a clear and concise manner.
You ensure that team goals are met 85 percent of the time.
You recognize and value good performance.
You use timely and appropriate corrective/disciplinary actions.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You encourage risk taking and experimentation to improve performance
You complete work on time
You motivate others to achieve or exceed goals
You identify ways to simplify work processes and reduce cycle times
You project a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Punctuality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You arrive to meetings on time.
You avoid making personal phone calls during working hours.
You start meetings on time.
You invoice clients on a timely basis.
You start the workday when scheduled.
Establishing Focus/Direction	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You help guide employees with prioritizing tasks.
You make sure that employees understand and identify with the team's mission.
You maintain focus when handling several problems or tasks simultaneously.
You set appropriate goals for employees.
You maintain self-control when personally criticized.
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You reflect on what is working and what could be improved.
You encourage others to achieve high quality standards.
You always strive to produce the highest quality work products.
You correct issues in a timely manner.
You encourage employees to produce the best quality products.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I am focused on improving customer services.
I create documents that meet the customer's specifications.
You look for opportunities that have a positive impact on customers.
You anticipate potential obstacles to meeting customer needs.
You anticipate problems that the customer may encounter.

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: