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.

---

Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Conducts timely follow-up; keeps others informed on a need to know basis.
Goal Setting
Achieves 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
Coordinates all department activities into a cohesive team effort.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Encourages commitment in others to obtain results.
Committed to the team.
Maintains persistence and dedication to achieving results.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports our company's safety programs.
Encourages others to work safely.
Performs work safely.
Develops safety guidelines for the department.
Ensures compliance with safety regulations.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Behavior is ethical and honest.
...takes personal responsibility for results.
Sets a good example
Is a person you can trust.
Works in a way that makes others want to work with her/him.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Always has a "game plan" prior to entering into negotiations.
Does what it takes to ensure that the final agreement aligns with core interests.
Is an effective negotiator, fostering positive relationships and achieving good outcomes.
Identifies goals and objectives desired as well as the strengths and weaknesses currently possessed.
Assesses the validity and relevance of each piece of information, considering the context and source.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to respond to incidents without stopping the workflow.
Is open to new ideas and innovations.
Effective in working with different personnel of the team.
Able to step in and help co-workers when needed.
Adjusts plans to meet the needs of new constraints.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Motivates others to achieve or exceed goals
Identifies ways to simplify work processes and reduce cycle times
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Completes a large volume of work.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports and mentors others that may have different cultural backgrounds.
Participates in cultural training sessions/classes.
Develops skills and attitudes to bridge cultural differences.
Avoids referring to stereotypes about others from different cultures.
Effective in working with individuals with a variety of cultural backgrounds.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Selects the appropriate techniques for analysis.
Identifies opportunities for progress and innovation.
Implements data validation techniques and methods.
Analyzes data and information from several sources and arrives at logical conclusions.
Identifies problems and issues needing resolution.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Initiates the development of new products.
Takes the initiative to change the direction or course of events.
Takes charge when there is a crisis.
Addresses small problems before they become big ones.
Acts quickly when a small problem arises to keep it from becoming a major issue.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Allocates time and resources specifically for innovation projects, allowing employees to dedicate efforts to exploring new opportunities.
Utilizes disruptive innovation to help managers transform conventional business models, making products and services more accessible and affordable.
Develops new products and services.
Implements best practices within the department.
Fosters continuous improvement processes.

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: