Initiative - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to the Employee Survey. Our objective is to understand and express the values which will ensure is an exceptional place to work. 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 our staff and business to provide you with an opportunity to anonymously rate many facets of the business. The survey will assess what you value most in your employment 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 and . 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
Immediately works to complete goals well before their deadline.
Takes the initiative to change the direction or course of events.
Takes action without being asked.
Goes above and beyond the stated goals.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is aware of problems or issues that may affect the organization.
Develops goals and establishes objective measures of success.
Defines roles, rights, and responsibilities of employees.
Keeps supervisor informed of recent events.
Tackles issues head on and finds solutions.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Protects the integrity and confidentiality of information
Fosters an environment built upon trust.
Demonstrates honesty and truthfulness at all times.
Maintains strong relationships with others.
Establishes relationships of trust, honesty, fairness, and integrity.
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.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Uses patience and self-control in working with customers and associates.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Actively seeks to learn by asking questions and listening to all store associates.
Constantly enhances product knowledge through experimentation and play.
Persists until goals are achieved and commitments are met.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Is motivated by the desire to be "the best".
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Provides constructive, ongoing feedback.
Resolves personnel problems quickly and effectively.
Encourages employees to achieve their full potential.
Appropriately recognizes and rewards employees.
Delegates effectively.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Can effectively interpret and analyze data.
Identifies the root cause of a problem.
Actively seeks constructive feedback from others.
Uses appropriate techniques to solve problems.
Analyzes data and information from several sources and arrives at logical conclusions.
Decision Making	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
Seeks input from key people who should be involved in, or will be affected by, decisions
Is able to make decisions quickly.
Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
Exercises good judgment by making sound and informed decisions.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Considers customers point of view when making decisions.
...friendliness and courtesy
Maintains positive customer relationships.
Does not hesitate to address customer concerns or complaints.
Consistently models positive customer service attitudes.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands the "basics" as to how [Company] functions/operates.
Understands how decisions impact other business units beyond their immediate department of work group.
Follows existing procedures and processes.
Attends [Company] gatherings and social events.
Expresses loyalty and dedication to [Company] in interactions with others.

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: