Establishing Focus/Direction - 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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Establishing Focus/Direction	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains focus when handling several problems or tasks simultaneously.
Helps guide employees with prioritizing tasks.
Makes sure that employees understand and identify with the team's mission.
Stays focused even when under pressure and stress.
Makes sure that employees understand how their work relates to organizational goals.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ensures stakeholders are involved in the decision making process.
Able to express own goals and needs.
Persuades others to consider alternative points of view.
Develops a good rapport with others.
Seeks to obtain consensus or compromise.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Accepts accountability for their actions and results.
Defines roles, rights, and responsibilities of employees.
Creates a consistent process for prioritizing work.
Takes responsibility for results.
Keeps supervisor informed of recent events.
Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets clear goals and objectives for subordinates.
Is a highly effective supervisor.
Holds others accountable for their actions.
Takes ownership and accountability for results
Effectively leads others.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Listens and responds to issues and problems
...Overall Performance
Effective in performing his/her job.
...Produce Quality
Has great overall performance
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Always strives to produce the highest quality work products.
Corrects issues in a timely manner.
Encourages employees to produce the best quality products.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Reflects on what is working and what could be improved.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Prioritizes new tasks according to their relative importance.
Keeps and maintains a To-Do list.
Uses agendas when chairing or facilitating meetings.
Makes time for developing plans and schedules.
Deals effectively with interruptions.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Encourages commitment in others to obtain results.
Committed to the team.
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands the processes and various stages of business development.
Balances risks and rewards when making decisions.
Devotes a certain amount of time and effort to developing new business opportunities.
Seeks and utilizes mentors to help guide professional development.
Takes the initiative to complete tasks.

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

    -Excellent -Good -Average -Poor




47. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    


48. 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?
    
    
    


49. What changes do you see [Company] making in order to raise the standards?
    
    


50. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    


51. What do you like best about working for [Company]?
    
    


52. 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: