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.

---

Edit this Survey

Would you like to edit this survey? Click here to begin.

Excellence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets goals with high standards to ensure work consistently exceeds expectations.
Continuously updates skills to keep pace with technological change.
Mitigates risks that threaten the achievement of exceptional results.
Demonstrates the functional or technical skills necessary to do their job.
Models a determined pursuit of excellence that elevates team performance.
Creativity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates imaginative prompts to inspire the team's idea generation.
Reframes challenges in unexpected ways.
Reimagines systems to enhance performance and adaptability.
Allows for iterative thinking rather than rushing to final solutions.
Gives employees the freedom to experiment and take risks.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Inspires others to learn new things.
Exhibits willingness to upgrade skills through additional training and education.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Stays up-to-date on emerging technologies.
Is open to feedback from others.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Open to learning about different cultures.
Is aware of differences in how individuals from other cultures greet one another.
Encourages inclusive participation in culturally significant events and observances
Values the opinions of diverse groups and individual.
Consistently acknowledges and validates the contributions of team members from all backgrounds.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Builds confidence and capability by coaching team members, providing constructive feedback, and developing employee skills.
Develops a plan for resource management.
Celebrates wins, acknowledges extra effort, and highlights contributions that move the project forward, strengthening morale and ownership.
Conducts a risk assessment for each phase of the project.
Outlines key project dates and milestones.
Trustworthy	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Strengthens customer trust by maintaining excellence in every interaction.
Strengthens credibility by responding promptly and consistently to employee needs.
Can be relied upon to act ethically and responsibly.
Is honest and transparent with others.
Strengthens relationships by being honest about limitations and areas for growth.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates opportunities for professional development.
Encourages employees through recognition of positive changes in behavior.
Sets performance objectives for subordinates that encourages development opportunities.
Tries to ensure employees are ready to move to the next level.
Is open to receiving feedback.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Distinguishes between surface-level disagreements and deeper systemic issues, ensuring interventions target the right level.
Clarifies ambiguous situations by asking questions tailored to help others articulate their concerns more precisely.
Addresses concerns about the availability of limited resources.
Supports experimentation with new team norms or workflows that may reduce future conflicts.
Helps others to see perceptions that they have about an issue.
Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...treats others with respect and dignity.
Forms working relationships with employees from other departments.
Supports the efforts of other employees in implementing solutions to problems.
Is able to see issues from others' perspectives.
Constructively receives criticism and suggestions from others.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains the high ethical standards of the company.
Actively engages with community leaders to identify opportunities for meaningful collaboration.
Follows existing procedures and processes.
Ensures the physical plant has everything needed to facilitate the production line.
Maintains high standards for business ethics.

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

    -Excellent -Good -Average -Poor




52. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
53. 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?
    
    
    
54. What changes do you see [Company] making in order to raise the standards?
    
    
    
55. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
56. What do you like best about working for [Company]?
    
    
    
57. 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: