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
Set clear goals for assignments.
Gives responsibility for making important decisions to employees.
Gives employees autonomy to complete tasks on their own.
Trusts employees are able to complete assigned tasks.
Recognizes the accomplishments of employees when they complete important assignments.
Delegation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Clearly defines duties and tasks to be completed.
Allows employees to decide how they wish to complete the tasks.
Tells subordinates what to do, not how to do it.
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
Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
Begins tasks as soon as possible.
Ranks the importance of tasks to make sure critical tasks are completed first.
Switches attention to more urgent tasks when necessary.
Spends the most time and effort on critical tasks first.
Technology Use/Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands and is committed to implementing new technologies.
Adopts the implementation of new technology into the workplace.
Proficient in the use of technical systems and processes.
Uses technology in decision making and problem solving.
Maximizes the use of new technology to deliver products and services.
Interpersonal Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Expresses appreciation of other's work.
Builds a strong rapport with co-workers.
Is a role model for others
Anticipates the concerns of other employees.
Comes across as credible, knowledgeable and sincere
Recognition	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is sincerely interested in the suggestions of co-workers
Finds opportunities to recognize others.
Recognizes the abilities and skills of self and others
Says "thank you" to show appreciation for work of others.
Readily shares credit and gives others opportunity for visibility.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is committed to the success of the customer.
Takes the initiative in solving difficult customer issues.
Is pro-active in dealing with customers and addressing their needs.
Responsive to customer needs.
Is committed to resolving customer issues in a positive way.
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.
Conducts regular performance appraisals and feedback.
Addresses employee behavior problems effectively.
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
Corrects issues in a timely manner.
Always strives to produce the highest quality work products.
Holds employees accountable for their quality of work.
Encourages others to achieve high quality standards.
Encourages others to produce the highest quality work products.
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Can work effectively in an environment of uncertainty.
Understands the processes and various stages of business development.
Excellent at managing relationships with stakeholders.
Finds unique ways to go around barriers to success.
Maintains a high level of energy to respond to demands of the job.

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: