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
Functions well under stress, deadlines, and/or significant workloads.
Sets appropriate goals for employees.
Aligns the department's goals with the goals of the organization.
Maintains self-control when personally criticized.
Maintains focus when handling several problems or tasks simultaneously.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Persuades others to consider alternative points of view.
Seeks to obtain consensus or compromise.
Understanding what others need.
Communicates effectively with others.
Develops a good rapport with others.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Defines roles, rights, and responsibilities of employees.
Can be counted on to do what they say they are going to do.
Always keeps the supervisor informed of relevant information.
Accepts the consequences for their actions.
Takes full responsibility for team's lack of progress.
Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effectively leads others.
Highly effective supervisor.
Is a highly effective supervisor.
Sets a high level of performance expectations and challenges others to do the same.
Able to align manpower, design work, an allocate tasks to achieve goals.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effective in performing his/her job.
Effectively organizes resources and plans
Works well in this position.
Has great overall performance
Sets a high standard for job performance.
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effectively coordinates with other departments to improve quality.
Encourages others to achieve high quality standards.
Committed to the improvement of the quality of services and products.
Develops and maintains quality control checklists for the manufacturing department.
Demonstrates a strong commitment to achieving quality goals.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Proactively addresses crucial matters.
Processes items in the inbox instead of letting them accumulate.
Provides accurate estimates for the amount of time needed to accomplish certain tasks.
Acts promptly without delay.
Emphasizes punctuality in the department and makes sure employees know they are expected to be on time.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages commitment in others to obtain results.
Maintains persistence and dedication to achieving results.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Takes immediate action toward goals.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands the processes and various stages of business development.
Has a strategic awareness on how to promote the organization.
Able to adapt the department to changing business demands and climate.
Maintains a high level of energy to respond to demands of the job.
Encourages risk taking for developing potential business 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: