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 self-control when personally criticized.
Stays focused even when under pressure and stress.
Helps guide employees with prioritizing tasks.
Makes sure that employees understand and identify with the team's mission.
Excellent at managing time.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks to obtain consensus or compromise.
Understanding what others need.
Ensures stakeholders are involved in the decision making process.
Persuades others to consider alternative points of view.
Develops a good rapport with others.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Regularly leads the way when helping the team troubleshoot various issues.
Shows up for work on time.
Always starts work on time.
Chooses integrity over convenience.
Exhibits a sense of ownership of the process.
Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets a high level of performance expectations and challenges others to do the same.
Acts decisively in implementing decisions.
Able to align manpower, design work, an allocate tasks to achieve goals.
Able to organize the work of others.
Effectively leads others.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works effectively in the department.
Listens and responds to issues and problems
...Overall Performance
Works well in this position.
...Produce Quality
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyze what occurred and re-adjusts accordingly when goals are not met.
Corrects issues in a timely manner.
Encourages employees to produce the best quality products.
Holds employees accountable for their quality of work.
Encourages others to produce the highest quality work products.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets target due dates or times for tasks to be completed by.
Is concerned about adhering to the schedule.
Often works through lunches instead of going out for lunches.
Leverages calendars to help keep better track of events.
Is good at keeping track of time and avoiding getting behind schedule.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Committed to the team.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Maintains persistence and dedication to achieving results.
Encourages commitment in others to obtain results.
Coordinates all department activities into a cohesive team effort.
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is comfortable operating in an environment of uncertainty.
Encourages risk taking for developing potential business opportunities.
Excellent at managing relationships with stakeholders.
Devotes a certain amount of time and effort to developing new business opportunities.
Has a strategic awareness on how to promote the organization.

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: