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
Establishes work schedules for the crew to keep progress moving forward.
Reviews organizational conditions to uncover strategic opportunities and mitigate potential threats.
Creates opportunities for peer learning and collaborative problem-solving.
Identifies the tasks or goals that have the biggest impact.
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
Forges a consensus among individuals who have a diversity of opinions and interests.
Helps employees envision their future success within the team's broader achievements.
Uses persuasive dialogue to redirect unproductive conflict into collaborative problem-solving.
Stands firm on principles, even when under pressure to compromise for short-term gain.
Changes how employees value customer relationships and influences them to focus more on long-term satisfaction.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Expects employees to accept the consequences of their actions.
Shows up for work on time.
Works diligently for the success of the team.
Consistently strives to complete work on time or ahead of schedule.
Exhibits a sense of ownership of the process.
Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adjusts communication style to fit the needs and learning preferences of the individual.
Helps employees set clear action steps to improve performance.
Empowers others to achieve results and holds them accountable for actions.
Is a highly effective supervisor.
Expresses pride in the accomplishments of employees or the department.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works well in this position.
...Produce Quality
Effectively organizes resources and plans
Effective in performing his/her job.
Shown significant improvement in job performance.
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Quickly addresses changes in quality of the products.
Ensures the hiring of employees that have a quality focus.
Assists quality control inspectors.
Analyzes quality improvement plans and initiatives.
Encourages others to achieve high quality standards.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Persists with crucial assignments.
Delegates tasks to free up time to focus on more important issues.
Uses scripts or software tools to automate computer centered processes.
Achieves high output to meet deadlines.
Never late for work.
Commitment	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Committed to the company.
Maintains discipline in execution, ensuring commitment to rigor and consistency in work.
Holds self and others accountable for staying focused on agreed deliverables.
Drives momentum by setting clear deadlines, ensuring commitments are pursued with focus and timeliness.
Transforms employee potential into committed action for the benefit of the enterprise.
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Excellent at managing relationships with stakeholders.
Can work effectively in an environment of uncertainty.
Seeks and utilizes mentors to help guide professional development.
Exhibits determination and passion in completion of goals.
Encourages dynamic growth opportunities.

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: