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
Trusts employees to complete tasks assigned.
Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.
Allows the employees to have flexible work schedules.
Allows employees the freedom to do tasks how they see fit, but holds them accountable for obtaining results.
Recognizes the accomplishments of employees when they complete important assignments.
Delegation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Allows subordinates to use their own methods and procedures.
Defines goals and objectives for subordinates.
Assigns tasks to create learning opportunities for the employees.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Entrusts subordinates with important tasks.
Juggling Multiple Responsibilities	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is aware of the deadlines for specific tasks/assignments.
Begins tasks as soon as possible.
Ranks the importance of tasks to make sure critical tasks are completed first.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Completes multiple tasks simultaneously.
Technology Use/Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Proficient in the use of technical systems and processes.
Supports technical training and development of employees.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Supports employee training and development initiatives regarding implementation of technology.
Understands and is committed to implementing new technologies.
Interpersonal Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Builds strong relationships with team members.
A good listener who is attentive to others.
Works diligently to assist customers in finding the right products.
Pays close attention to what is being communicated verbally and nonverbally.
Is open and approachable
Recognition	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Says "thank you" to show appreciation for work of others.
Reinforces and rewards employees for accomplishing necessary goals.
Recognizes the abilities and skills of self and others
Lets employees know when they have done well
Readily shares credit and gives others opportunity for visibility.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains positive customer relationships.
Tailors innovative products for each customer.
Is above average in addressing the needs of the customers.
Acts with integrity in all customer interactions.
Delivers high quality products to the customer.
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.
Meets regularly with employees to coach them on areas that will enhance their performance
Develops the skills and capabilities of others.
Addresses employee behavior problems effectively.
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to identify quality issues critical to the organization.
Encourages others to achieve high quality standards.
Influences others to achieve high quality standards.
Engages and leads staff in implementation of new quality procedures.
Implements standardized and data driven quality processes/procedures.
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Devotes a certain amount of time and effort to developing new business opportunities.
Takes the initiative to complete tasks.
Able to adapt the department to changing business demands and climate.
Balances risks and rewards when making decisions.
Has a strategic awareness on how to promote the organization.

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: