Empowering Others- 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

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.

---

Empowering Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports the decisions of others even if those decisions may sometimes lead to mistakes.
Creates opportunities for employees to exercise their independence.
Allows employees the freedom to do tasks how they see fit, but holds them accountable for obtaining results.
Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.
Considers ideas from employees that may challenge traditional ways of doing the job.
Delegation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Clearly defines duties and tasks to be completed.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Allows employees to decide how they wish to complete the tasks.
Entrusts subordinates with important tasks.
Sets clear and reasonable expectations for others and follows through on their progress.
Juggling Multiple Responsibilities	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ensures that assignments are prioritized according to the needs of the department/company.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Is aware of the deadlines for specific tasks/assignments.
Assesses current capabilities before committing to new requests from customers.
Can multitask while performing all of their other responsibilities and activities.
Technology Use/Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adopts the implementation of new technology into the workplace.
Supports employee training and development initiatives regarding implementation of technology.
Supports technical training and development of employees.
Applies complex rules and regulations to maintain optimal system performance.
Proficient in the use of technical systems and processes.
Interpersonal Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes time to recognize the efforts of others.
Gives credit where credit is due.
Honest about owning up to mistakes made.
Creates an atmosphere that supports the open expression of ideas
Demonstrates willingness to work with others.
Recognition	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Reinforces and rewards employees for accomplishing necessary goals.
Lets employees know when they have done well
Makes people around them feel appreciated and valued.
Says "thank you" to show appreciation for work of others.
Recognizes individuals for a specific outstanding achievement.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Fulfills commitments made to customers.
Ensures customers are comfortable with the services provided.
Is aware of what the customer wants to receive.
Provides a responsive service that meets the needs of customers.
Able to handle difficult customers.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps employees to understand responsibilities, authority, and expectations.
Develops the skills and capabilities of others.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Provides clear, motivating, and constructive feedback.
Conducts regular performance appraisals and feedback.
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Proposes a variety of solutions to address quality needs.
Creates a culture of quality standards in the workplace.
Communicates quality standards clearly.
Adjusts processes or procedures to improve quality results.
Develops specific quality standards/goals to be met within a specified timeframe.
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Exhibits determination and passion in completion of goals.
Is comfortable operating in an environment of uncertainty.
Maintains a high level of energy to respond to demands of the job.
Devotes a certain amount of time and effort to developing new business opportunities.
Balances risks and rewards when making decisions.

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

    -Excellent -Good -Average -Poor




52. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
53. 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?
    
    
    
54. What changes do you see [Company] making in order to raise the standards?
    
    
    
55. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
56. What do you like best about working for [Company]?
    
    
    
57. 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: