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
Stays focused even when under pressure and stress.
Maintains self-control when personally criticized.
Makes sure that employees understand how their work relates to organizational goals.
Functions well under stress, deadlines, and/or significant workloads.
Excellent at managing time.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Communicates effectively with others.
Able to express own goals and needs.
Develops a good rapport with others.
Ensures stakeholders are involved in the decision making process.
Understanding what others need.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes ownership of problems to find the best solutions.
Informs the supervisor if progress on the task has been delayed.
Understands the importance of holding employees accountable for their work.
Holds self and others accountable for meeting the deadline.
Always starts work on time.
Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Acts decisively in implementing decisions.
Provides resources to enable individuals to develop professionally.
Is a highly effective supervisor.
Able to organize the work of others.
Highly effective supervisor.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets a high standard for job performance.
...Overall Performance
Effective in performing his/her job.
Works well in this position.
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.
Promotes an environment that fosters quality and safety.
Develops a quality manual to assist in troubleshooting issues and documenting the quality management system.
Evaluates and improves the quality of services and products.
Assesses strengths and weaknesses of various quality initiatives.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Consistently meets the project schedule.
Delegates simple tasks to employees so the manager can focus on more complex tasks.
Stays focused on the job.
Effectively delegates tasks to maximize the use of time.
Approaches work with a sense of urgency.
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.
Committed to the team.
Encourages commitment in others to obtain results.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks and utilizes mentors to help guide professional development.
Encourages risk taking for developing potential business opportunities.
Excellent at managing relationships with stakeholders.
Takes the initiative to complete tasks.
Can work effectively in an environment of uncertainty.

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: