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
Achieves established goals.
Makes sure that I have a clear idea of our group's goals.
Makes sure that team members have a clear idea of our group's goals.
Understands & contributes to development of strategic goals.
Establishes and documents goals and objectives.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains persistence and dedication to achieving results.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Takes immediate action toward goals.
Committed to the team.
Coordinates all department activities into a cohesive team effort.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is not afraid to question a potential safety issue observed in the workplace.
Mitigates hazards and safety issues that arise.
Develops a culture of safety.
Participates in safety training when offered.
Creates accurate and effective measures of safety.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Responsible for setting the vision of the department.
Is a person you can trust.
...takes personal responsibility for results.
Behavior is ethical and honest.
Sets a good example
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effectively sets the tone and agenda, creates rapport, and builds momentum at the start of negotiations.
Justifies viewpoints using strong and credible data.
Fully grasps both party's interests and options.
Is an effective negotiator, fostering positive relationships and achieving good outcomes.
Aims for solutions that benefit both parties.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to adjust to changing environments.
Responds quickly to new information.
Easily accepts new responsibilities.
Able to quickly learn new ways of performing their job.
Handles unexpected events without a loss of productivity.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
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).
Motivates others to achieve or exceed goals
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
Fosters a diverse workforce free from discrimination and harassment.
Is responsive to individuals from other cultures.
Is curious and willing to ask questions about the cultural differences in the workplace.
Aware of their own cultural views.
Develops skills and attitudes to bridge cultural differences.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes issues and reduces them to their component parts.
Balances risks and costs with the rewards and probabilities of success when decisions.
Identifies opportunities for progress and innovation.
Asks the "right" questions to size up or evaluate situations.
Identifies the root cause of a problem.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes tasks without having to be told to do so.
Immediately works to complete goals well before their deadline.
Acts quickly when a small problem arises to keep it from becoming a major issue.
Confronts problems immediately without supervisor instructions.
Goes above and beyond the stated goals.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes risks to advance important ideas.
Searches for opportunities and innovative ways to improve the organization.
Builds upon the ideas and solutions of others.
Challenges current procedures to develop other alternatives.
Solves problems with insight and understanding.

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: