Initiative - 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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Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Champions under-supported ideas by building coalitions or reframing proposals to gain traction.
Quickly comes to the aid of those who may need help.
Volunteers time and effort toward the completion of important goals.
Allocates resources in advance to support anticipated growth or change initiatives.
Introduces changes that reduce operational costs or increase revenue.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Acknowledges errors and takes the steps necessary to rectify them.
Is someone you can trust.
Accepts personal responsibility for not meeting expectations.
Accepts personal responsibility for producing high quality and timely work.
Fully embraces the responsibilities that contribute to our departmental success.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Provides accurate and honest reporting that allows the company to provide a true representation of financial health, operational performance, and strategic goals.
Fosters a commitment to excellence and attention to detail.
Creates a foundation of trust and respect that drives long-term success and positive relationships.
Exemplifies integrity and responsibility both publicly and privately.
Consistently demonstrates a high degree of integrity, whether in public or in private.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Steps away from a situation to process appropriate response.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Consciously controls own negative emotions in order to keep team morale up.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Inspires others to learn new things.
Is open to feedback from others.
Holds self and associates accountable for goal achievement.
Will participate in training classes even if offered outside of normal working hours.
Enhances value to the company through additional training and development.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Provides feedback that is aligned with performance expectations.
Ensures employees know what they need to complete during the shift.
Provides timely and thorough performance evaluations of employees.
Exemplifies professionalism in the workplace.
Maintains a calm demeanor when addressing stressful issues in the workplace.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks to understand where potential problems may occur.
Uses financial metrics of similar companies to estimate the value our company.
Understands how to develop critical and analytical thinking.
Helps employees to understand the issues better by using logic and research carefully.
Able to dissect a problem into its core elements.
Decision Making	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Integrates multiple dimensions (budget, capacity, morale) into a holistic evaluation of the costs and benefits.
Integrates environmental factors that may restrict or shape decision outcomes.
Has a good rapport other people which is helpful in making decisions on the team.
Anticipates impacts that may not be immediately obvious, reducing risk exposure.
Willing to change their strategy if new information arises.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Provides excellent service to customers.
Puts customer's needs first.
Ensures every customer receives the same high standard of service, regardless of the situation.
Creates innovative solutions to meet customer needs.
Has received good feedback from customers.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Keeps teams focused on what's next, not just what's now.
Outlines expected behaviors and helps determine ethical standards across all levels of the organization.
Is transparent in leadership and holds themself accountable.
Creates a work environment that employees appreciate and are able to be productive.
Anticipates resource needs and proactively secures tools that support evolving workflows.

51. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




52. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
53. 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?
    
    
    
54. What changes do you see [Company] making in order to raise the standards?
    
    
    
55. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
56. What do you like best about working for [Company]?
    
    
    
57. 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: