Goals - 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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Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Establishes and documents goals and objectives.
Makes sure that team members have a clear idea of our group's goals.
Sets high expectations and goals; encourages others to support the organization.
Conducts timely follow-up; keeps others informed on a need to know basis.
Achieves established goals.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Coordinates all department activities into a cohesive team effort.
Encourages commitment in others to obtain results.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Able to focus on a task even when working alone.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works to implement corrective safety measures.
Participates in safety training as applicable.
Is not afraid to question a potential safety issue observed in the workplace.
Participates in safety training when available.
Develops a culture of safety.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...takes personal responsibility for results.
Behavior is ethical and honest.
Acts as a resource without removing individual responsibility.
Sets a good example
Is a person you can trust.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Leverages relationships with others to achieve goals.
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Influences others through rational argument and persuasion.
Able to say "no" when it is essential to maintaining quality and high standards.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Recognizes and implements changes to enhance efficiency and effectiveness.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Develops insights and applies innovative solutions to projects and problems.
Is flexible and open minded in dealing with others.
Learns from personal experiences and/or mistakes.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies ways to simplify work processes and reduce cycle times
Conveys a sense of urgency about addressing problems and opportunities
Seeks and utilizes opportunities for continuous learning and self-development.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Completes work on time
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Values the opinions of diverse groups and individual.
Treats others with dignity and respect.
Respects others regardless of age, race, gender, nationality, or disability.
Seeks out different viewpoints and benefits from different perspectives.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies the root cause of a problem.
Actively seeks constructive feedback from others.
Uses appropriate techniques to solve problems.
Asks the "right" questions to size up or evaluate situations.
Can effectively interpret and analyze data.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Immediately works to complete goals well before their deadline.
Takes action without being asked.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Seeks and utilizes opportunities for continuous learning and self-development.
Prepares for unexpected contingencies.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Builds upon the ideas and solutions of others.
Challenges current procedures to develop other alternatives.
Offers constructive improvements to existing systems.
Implements best practices within the department.
Analyzes current procedures and identifies opportunities for improvement.

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: