Excellence - 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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Excellence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes a lot of pride in their work.
Produces high quality work.
Can be counted on to add value wherever they are involved.
Demonstrates the analytical skills to do their job.
Demonstrates the functional or technical skills necessary to do their job.
Creativity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops solutions to challenging problems.
Inspires creativity in their team.
Conceives, implements and evaluates ideas.
Is creative and inspirational.
Creates a lot of new ideas.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Consciously controls own negative emotions in order to keep team morale up.
Steps away from a situation to process appropriate response.
Does not allow own emotions to interfere with the performance of others.
Uses patience and self-control in working with customers and associates.
Analyzes interpersonal problems instead of reacting to them.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Enhances value to the company through additional training and development.
Stays up-to-date on emerging technologies.
Is open minded and curious about learning new skills.
Is committed to enhancing their own knowledge and skills.
Embraces new technology and procedures.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages a work environment where individual differences are valued.
Is curious and willing to ask questions about the cultural differences in the workplace.
Is responsive to individuals from other cultures.
Respects others regardless of age, race, gender, nationality, or disability.
Is aware of differences in how individuals from other cultures greet one another.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Anticipates potential problems and institutes controls and contingency plans to address them.
Works with customers and clients to assess their needs and define project parameters.
Develops performance measures for various aspects of the project.
Organizes, plans, and directs resources to accomplish the goals and objectives.
Responds quickly and appropriately to unforeseen problems.
Trustworthy	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrates congruence between statements and actions.
Takes care to maintain confidential information.
Takes ownership, delivers on commitments
Is trustworthy; is someone I can trust.
Demonstrates a sense of responsibility and commitment to public trust.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates a work environment that fosters positive feedback to employees.
Sets performance objectives for subordinates that encourages development opportunities.
Creates opportunities for professional development.
Encourages employees through recognition of positive changes in behavior.
Recognizes and celebrates accomplishments of others.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Tries to understand others' point of view before making judgments
Assists team members by helping them see the other point of view.
Helps employees to think through alternative ways to resolve conflict situations.
Clearly expresses expectations to others.
Deals effectively with employee grievances.
Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to see issues from others' perspectives.
Helpful
Forms working relationships with employees from other departments.
Includes others in the decision making processes.
Consistently demonstrates ability and willingness to trust others.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands how decisions impact other business units beyond their immediate department of work group.
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the "basics" as to how [Company] functions/operates.
Follows existing procedures and processes.
Attends [Company] gatherings and social events.

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

    -Excellent -Good -Average -Poor




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


58. 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?
    
    
    


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


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


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


62. 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: