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
Provides support and resources needed to accomplish goals.
Distributes the workload to subordinates.
Sets clear goals for others to accomplish.
Encourages others to obtain necessary skills and training.
Allows individuals to be responsible for their decisions.
Delegation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Allows employees to decide how they wish to complete the tasks.
Clearly defines duties and tasks to be completed.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Allows subordinates to use their own methods and procedures.
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
Assesses current capabilities before committing to new requests from customers.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Bounces back from daily crisis, disappointments and frustrations.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Technology Use/Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports employee training and development initiatives regarding implementation of technology.
Maximizes the use of new technology to deliver products and services.
Adopts the implementation of new technology into the workplace.
Supports technical training and development of employees.
Applies complex rules and regulations to maintain optimal system performance.
Interpersonal Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Anticipates the concerns of other employees.
Expresses appreciation of other's work.
Demonstrates willingness to work with others.
Successfully resolves conflicts and grievances to a win-win solution.
Provides constructive feedback in a way that fosters acceptance and development.
Recognition	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Offers recognition in a timely manner.
Recognizes individuals for a specific outstanding achievement.
Recognizes the abilities and skills of self and others
Is sincerely interested in the suggestions of co-workers
Compliments other people when they do good work
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...friendliness and courtesy
Maintains positive customer relationships.
Does not hesitate to address customer concerns or complaints.
Develops good rapport and trust with the customer.
Consistently models positive customer service attitudes.
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.
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.
Conducts regular performance appraisals and feedback.
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages others to produce the highest quality work products.
Always strives to produce the highest quality work products.
Corrects issues in a timely manner.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Encourages others to achieve high quality standards.
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Has a strategic awareness on how to promote the organization.
Exhibits determination and passion in completion of goals.
Encourages risk taking for developing potential business opportunities.
Excellent at managing relationships with stakeholders.
Encourages dynamic growth opportunities.

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: