Feedback - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to the Employee Survey. Our objective is to understand and express the values which will ensure is an exceptional place to work. 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 our staff and business to provide you with an opportunity to anonymously rate many facets of the business. The survey will assess what you value most in your employment 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 and . 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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Feedback	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Considers other's opinion and suggestions.
Is easy to approach with ideas and opinions.
Accepts the views of others.
Is visible and approachable.
Open to the suggestions of others.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Listens and responds to issues and problems
...Produce Quality
Effective in performing his/her job.
...Overall Performance
Has great overall performance
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adapts to new organizational structures, policies, or procedures.
Is open to alternative ways to accomplish goals
Identifies new opportunities to achieve goals
Implements changes as a result of having listened to employees
Open to the perspectives/viewpoints of others.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Is flexible and open minded in dealing with others.
Flexible and open to new ideas and encourages others to value change.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Learns from personal experiences and/or mistakes.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Displays high energy and enthusiasm on consistent basis.
Completes work on time
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Seeks and utilizes opportunities for continuous learning and self-development.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Solves problems using logic and insight.
Works cooperatively with others to solve problems.
Ability to develop innovative solutions to problems.
Effective in solving problems.
Is a good problem solver and decision maker
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Provides clear expectations for employees.
Explains the "whys" behind organizational objectives
Encourages a high-energy, fun work environment and coaches others on how to do the same
Works toward achievement of goals even when confronted with obstacles.
Directs team in prioritizing daily work activities
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports our company's safety programs.
Ensures compliance with safety regulations.
Participates in safety training when offered.
Performs work safely.
Develops a sustainable safety culture.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ensures all customer commitments and requirements are met or exceeded.
Consistently models positive customer service attitudes.
Considers customers point of view when making decisions.
Does not hesitate to address customer concerns or complaints.
...friendliness and courtesy
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Creates the conditions for partnerships to grow and develop.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Seeks an understanding of diverse functions within the Company.
Creates value within the Company by building networks.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Clearly expresses expectations to others.
Helps employees to think through alternative ways to resolve conflict situations.
Discusses conflict situations with supervisor.
Assists team members by helping them see the other point of view.
Identifies and takes steps to prevent potential confrontations.

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: