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
Conducts timely follow-up; keeps others informed on a need to know basis.
Achieves goals.
Establishes and documents goals and objectives.
Makes sure that team members have a clear idea of our group's goals.
Understands & contributes to development of strategic goals.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes immediate action toward goals.
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.
Encourages commitment in others to obtain results.
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
Encourages others to work safely.
Supports our company's safety programs.
Participates in safety training when available.
Encourages others to attend safety training.
Keeps accurate safety records.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Holds herself / himself accountable to goals / objectives
Responsible for setting the vision of the department.
Behavior is ethical and honest.
Is a person you can trust.
Completes assigned work tasks.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Conducts necessary preparations before engaging in negotiations.
Able to influence others to accept certain positions.
Is able to decline bad ideas to avoid making poor decisions.
Actively listens to conversations to be able to recall important details later.
Influences others through rational argument and persuasion.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adjusts strategy when new information is presented.
Continually trying to improve skills to remain current.
Can take on new assignments.
Recognizes and implements changes to enhance efficiency and effectiveness.
Adjusts tactics and strategies.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Motivates others to achieve or exceed goals
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).
Seeks and utilizes opportunities for continuous learning and self-development.
Completes work on time
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands how their own cultural background can impact the way they communicate and interact with others.
Develops skills and attitudes to bridge cultural differences.
Aware of their own cultural views.
Seeks opportunities to learn about the other cultural backgrounds of colleagues.
Understands how implicit biases can affect decisions, communication and productivity.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Selects the appropriate techniques for analysis.
Identifies the root cause of a problem.
Analyzes issues and reduces them to their component parts.
Analyzes data and information from several sources and arrives at logical conclusions.
Implements data validation techniques and methods.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Cleans the workspace without being told.
Acts quickly to address any issues or problems.
Takes advantage of opportunities when they become available.
Takes corrective action to address performance deficiencies/issues.
Takes the initiative to change the direction or course of events.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages open communication to ensure that all proposals are considered.
Searches for opportunities and innovative ways to improve the organization.
Solves problems with insight and understanding.
Implements best practices within the department.
Offers constructive improvements to existing 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: