Goals - 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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Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Goal Setting
Understands & contributes to development of strategic goals.
Makes sure that I have a clear idea of our group's goals.
Achieves established goals.
Makes sure that team members have a clear idea of our group's goals.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Willing to do whatever it takes-not afraid to have to put in extra effort.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Coordinates all department activities into a cohesive team effort.
Committed to the team.
Able to focus on a task even when working alone.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages others to attend safety training.
Develops a sustainable safety culture.
Ensures that all supervisors are aware of regulatory and compliance measures.
Identifies and addresses safety needs.
Mitigates hazards and safety issues that arise.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets high personal standards of performance.
...takes personal responsibility for results.
Sets a good example.
Works in a way that makes others want to work with her/him.
Is a person you can trust.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Uses the motivations of each party to identify mutually advantageous solutions.
Is aware of potential emotional triggers that could negatively impact the negotiations.
Fosters a robust, collaborative setting; sets clear expectations; and introduces an agenda that matches priorities.
Clearly explains the issues and interests at the start of negotiations.
Is an effective negotiator, fostering positive relationships and achieving good outcomes.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Embraces change and fosters an open-minded environment.
Will stop what they are doing to help colleagues in need.
Adjusts plans and procedures.
Learns from personal experiences and/or mistakes.
Is aware of changes to the policies and procedures.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Displays high energy and enthusiasm on consistent basis.
Encourages risk taking and experimentation to improve performance
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Identifies ways to simplify work processes and reduce cycle times
Conveys a sense of urgency about addressing problems and opportunities
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is aware of differences in how individuals from other cultures greet one another.
Accepts individual differences.
Is aware of cultural differences in business etiquette.
Values the opinions of diverse groups and individual.
Seeks to reduce obstacles in communication that might arise from cultural differences.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to project future data points based on historical data.
Ensures staff records financial transactions accurately and completely.
Clearly identifies the issue to be resolved.
Divides complex problems or tasks into components/parts for further analysis.
Models future customer behavior from previous trends.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Acts with urgency when time is of the essence.
Immediately works to complete goals well before their deadline.
Initiates actions that impact the department/company.
Seizes upon opportunities available.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Improves and makes systems more efficient.
Challenges current procedures / processes to develop new solutions.
Embraces disruptive strategies enabling the organization to create groundbreaking advancements that outpace competitors.
Establishes priorities and allocates resources to support innovation.
Creates new programs and systems.

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: