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
Makes sure that team members have a clear idea of our group's goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Goal Setting
Achieves goals.
Achieves established goals.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Encourages commitment in others to obtain results.
Maintains persistence and dedication to achieving results.
Coordinates all department activities into a cohesive team effort.
Committed to the team.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates accurate and effective measures of safety.
Is not afraid to question a potential safety issue observed in the workplace.
Seeks to reduce the likelihood of accidents.
Develops a culture of safety.
Ensures that all supervisors are aware of regulatory and compliance measures.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes assigned work tasks.
...takes personal responsibility for results.
Behavior is ethical and honest.
Is a person you can trust.
Sets high personal standards of performance.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to express themselves in a clear, convincing, and logical manner.
Is resolute in positions to build trust and predictability.
Is aware of the needs of the other party.
Is able to decline bad ideas to avoid making poor decisions.
Leverages relationships with others to achieve goals.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is open to change and adjusts plans when needed.
Is flexible and open minded in dealing with others.
Adjusts plans and procedures.
Adapts to diversity within the team.
Works effectively with various personalities of team members.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages risk taking and experimentation to improve performance
Completes a large volume of work.
Conveys a sense of urgency about addressing problems and opportunities
Completes work on time
Motivates others to achieve or exceed goals
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Fosters a diverse workforce free from discrimination and harassment.
Helps other employees to become more culturally sensitive.
Open to learning about different cultures.
Avoids referring to stereotypes about others from different cultures.
Acknowledges their own biases in cultural interactions.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Balances risks and costs with the rewards and probabilities of success when decisions.
Asks the "right" questions to size up or evaluate situations.
Uses appropriate techniques to solve problems.
Identifies problems and issues needing resolution.
Implements data validation techniques and methods.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Immediately works on solving problems.
Takes corrective action to address performance deficiencies/issues.
Takes the initiative to complete tasks ahead of schedule.
Takes action without being asked.
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
Creates improved methods or solutions for meeting goals and objectives.
Develops new products and services.
Suggests new ideas at meetings.
Fosters a creative and innovative work environment.
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: