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
Can be counted on to add value wherever they are involved.
Takes a lot of pride in their work.
Keeps themselves and others focused on constant improvement.
Is planful and organized.
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.
Creates a lot of new ideas.
Inspires creativity in their team.
Adds value to the department/organization.
Is creative and inspirational.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Steps away from a situation to process appropriate response.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Uses patience and self-control in working with customers and associates.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates an environment that supports personal development and exploration.
Exhibits willingness to upgrade skills through additional training and education.
Is committed to enhancing their own knowledge and skills.
Stays up-to-date on emerging technologies.
Inspires others to learn new things.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effective in working with individuals with a variety of cultural backgrounds.
Fosters a diverse workforce free from discrimination and harassment.
Views diversity as a strength, not as an issue.
Is open and honest in communications with individuals from other cultures.
Treats others with dignity and respect.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands the financial, strategic, resources, staffing, timeline and market risks that may impact the project.
Develops action items, workplans, timelines, and criteria for projects.
Defines the project scope, goals, and resources.
Communicates the results of the project, at the conclusion, to all stakeholders.
Engages stakeholders and team members in open discussions.
Trustworthy	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works in a way that makes others want to work with her/him.
Consistently keeps commitments.
Takes care to maintain confidential information.
Takes ownership, delivers on commitments
Builds and maintains the trust of others.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets performance objectives for subordinates that encourages development opportunities.
Creates opportunities for professional development.
Encourages employees through recognition of positive changes in behavior.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Creates a work environment that fosters positive feedback to employees.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Promotes mutual compromise to achieve conflict resolution.
Explores the feasibility of alternative solutions to resolve conflicts.
Persuades others to accept ideas that may be difficult and uncomfortable.
Influences attitudes, beliefs, and behaviors in a way that fosters resolution and cooperation.
Identifies areas of agreement and common ground to form basis of resolution.
Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to see issues from others' perspectives.
Helpful
Supports the efforts of other employees in implementing solutions to problems.
Treats others with respect and dignity.
Works effectively with people from other departments.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands the "basics" as to how [Company] functions/operates.
Understands the use of [Company] products and services.
Impresses upon others the important aspects of [Company].
Expresses loyalty and dedication to [Company] in interactions with others.
Follows existing procedures and processes.

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: