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
Measures progress using metrics like tasks completed, milestones achieved, or hourly output.
May revise or modify clearly defined goals if they are deemed incorrect or unsuitable once the situation is fully understood.
Follows a structured plan to consistently monitor progress and make necessary adjustments.
Sets goals to improve performance metrics and regularly tracks progress.
Strategically allocates and optimizes resources to maximize efficiency and effectiveness in achieving goals.
Commitment	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains a commitment to the company.
Removes barriers to performance, proactively addressing obstacles that could hinder commitment to organizational results.
Builds commitment by asking employees to take responsibility for a piece of the initiative, making it "theirs."
Builds a culture where employees embrace shared values as the foundation for productivity.
Demonstrates persistence in pursuing goals, refusing to abandon important initiatives when obstacles appear.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Committed to safety in the workplace.
Participates in safety training when available.
Encourages others to attend safety training.
Points out behaviors in others that may be unsafe.
Ensures compliance with safety regulations.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works in a way that makes others want to work with her/him.
Sets a good example
...takes personal responsibility for results.
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
Does what it takes to ensure that the final agreement aligns with core interests.
Influences others through rational argument and persuasion.
Makes initial offers based on high aspirations conveying a robust BATNA (Best Alternative to a Negotiated Settlement).
Able to collaborate with others in solving problems to create solutions that satisfy both parties' interests.
Develops a unified understanding or strategy that acknowledges and addresses the different viewpoints and resolves conflicts.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Continually trying to improve skills to remain current.
Anticipates changes in the work environment.
Able to step in and help co-workers when needed.
Promotes a culture of adaptability and flexibility.
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
Demonstrates a commitment to progress by collaborating with others.
Responds quickly to find the best solutions to issues that arise in dynamic environments.
Starts work on projects without having to be told.
Overcomes obstacles to strengthen resilience and determination, becoming more capable of handling future challenges.
Supports others to gain skills
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Participates in diversity and inclusion initiatives to model respectful engagement.
Aware of their own cultural views.
Demonstrates empathy and patience when navigating cross-cultural misunderstandings.
Facilitates team-building activities that celebrate diversity and foster mutual respect.
Helps other employees to become more culturally sensitive.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Decomposes problems into smaller, manageable parts.
Identifies the part of the business value chain that is affected by a particular decision or action, diagnoses the situation, and prioritize what needs to be done and who needs to be involved.
Looks for patterns, trends, and relationships within the data.
Makes decisions based on solid, credible evidence rather than personal biases or preconceived notions.
Makes reasonable decisions about the importance of different sources of information.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Does things without being told.
Takes the initiative to change the direction or course of events.
Maintains momentum on long-term initiatives despite shifting priorities or limited support.
Prepares for unexpected contingencies.
Is proactive when preparing for potential problems or critical events.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Offers innovative solutions to Company problems.
Values diverse opinions among team members.
Ensures that employees feel safe to take risks and experiment without the fear of failure or retribution.
Solves problems with insight and understanding.
Encourages a diverse range of ideas and perspectives to cultivate an environment where innovation thrives.

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: