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.
Demonstrates the analytical skills to do their job.
Produces high quality work.
Keeps themselves and others focused on constant improvement.
Is planful and organized.
Creativity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Provides autonomy for individuals to explore ideas beyond their immediate tasks.
Open to new ideas.
Provides constructive criticism as critiques of newly created ideas/products.
Helps team members develop confidence to take risks and create new ideas/products.
Tailors creative solutions to deliver meaningful outcomes for users, clients, or patients.
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.
Steps away from a situation to process appropriate response.
Uses patience and self-control in working with customers and associates.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Consciously controls own negative emotions in order to keep team morale up.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes initiative for own learning and development.
Demonstrates through personal behavior the commitment to high standards of performance.
Is committed to enhancing their own knowledge and skills.
Is open minded and curious about learning new skills.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages recognition of diverse perspectives in performance reviews and goal-setting.
Maintains professional decorum and avoids culturally insensitive language or behavior.
Is aware of cultural differences in business etiquette.
Recognizes individual and cultural differences.
Facilitates team-building activities that celebrate diversity and foster mutual respect.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Determines the appropriate strategy for mitigating specific risks.
Schedules project phases and tasks to facilitate successful completion of the project.
Decides what metrics should be used as milestones for the project.
Conducts a risk assessment for the project.
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.
Takes care to maintain confidential information.
Builds and maintains the trust of others.
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
Tries to ensure employees are ready to move to the next level.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Creates a work environment that fosters positive feedback to employees.
Creates opportunities for professional development.
Recognizes and celebrates accomplishments of others.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Strives to ensure that all basic needs are met, resulting in mutual benefits for both parties.
Signals respect and attentiveness, even when tensions are high or perspectives diverge sharply.
Is responsive to contentious issues.
Demonstrates how to de-escalate through tone, body language, and word choice.
Demonstrates credibility and trustworthiness, making others more receptive to difficult feedback or compromise.
Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works effectively with people from other departments.
Respects the opinions of other employees.
Treats others with respect and dignity.
Consistently demonstrates ability and willingness to trust others.
Helpful
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is motivated to see the company succeed.
Recovers easily from scheduled downtimes.
Keeps the parking area well maintained.
Makes a real difference in the communities we serve.
Serves as a trusted ambassador of the company's values, delivering strategic outcomes that reinforce client confidence.

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: