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.

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Empowering Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Gives employees the opportunity to make their own decisions at work.
Encourages employees to think outside the box.
Encourages employees to take on greater responsibilities.
Recognizes that employees may need flexibility in their working hours.
Lets employees complete tasks according to their methods.
Delegation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Tells subordinates what to do, not how to do it.
Assigns tasks to create learning opportunities for the employees.
Allows employees to decide how they wish to complete the tasks.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Juggling Multiple Responsibilities	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Switches attention to more urgent tasks when necessary.
Organizes tasks for the most efficient order of completion.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Completes multiple tasks simultaneously.
Ranks the importance of tasks to make sure critical tasks are completed first.
Technology Use/Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports technical training and development of employees.
Supports employee training and development initiatives regarding implementation of technology.
Proficient in the use of technical systems and processes.
Understands and is committed to implementing new technologies.
Adopts the implementation of new technology into the workplace.
Interpersonal Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Gives constructive feedback on performance reviews.
Respectful of the opinions and ideas of others.
Is transparent and honest in communications, intentions, and actions.
Is thoughtful and honest about the feedback they give others.
Offers constructive criticism to have a positive impact on performance.
Recognition	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Offers recognition in a timely manner.
Says "thank you" to show appreciation for work of others.
Recognizes team members who offer a significant contribution to a project.
Reinforces and rewards employees for accomplishing necessary goals.
Is sincerely interested in the suggestions of co-workers
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Treats customers with courtesy and respect.
Meets with customers on a regular basis.
Accepts responsibility for ensuring customer satisfaction.
Is competent in handling difficult customers.
Helps customers feel they are receiving services tailored specifically to their needs.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
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.
Helps employees to understand responsibilities, authority, and expectations.
Meets regularly with employees to coach them on areas that will enhance their performance
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Assesses strengths and weaknesses of various quality initiatives.
Is flexible in addressing issues related to quality.
Adjusts processes or procedures to improve quality results.
Ensures the hiring of employees that have a quality focus.
Quickly identifies critical issues impacting quality.
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is comfortable operating in an environment of uncertainty.
Understands the processes and various stages of business development.
Takes the initiative to complete tasks.
Balances risks and rewards when making decisions.
Exhibits determination and passion in completion of goals.

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: