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
Prepares for unexpected contingencies.
Initiates new projects for the department.
Addresses small problems before they become big ones.
Does the right thing without being told.
Immediately works on solving problems.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Recognizes when a mistake is made and works to correct the issue.
Upholds ethical standards even when no one is watching.
Exhibits a sense of ownership of outcomes and results.
Takes responsibility for errors and actively works to correct them.
Takes full responsibility for project outcomes.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops trust and confidence from others.
Accepts responsibility for mistakes.
Follows tasks to completion.
Protects the integrity and confidentiality of information
Maintains strong relationships with others.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Consciously controls own negative emotions in order to keep team morale up.
Steps away from a situation to process appropriate response.
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.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes advantage of training opportunities when they arise.
Stays up-to-date on emerging technologies.
Inspires others to learn new things.
Enjoys learning new skills and techniques.
Creates an environment that supports personal development and exploration.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Offers non-monetary rewards as incentives for employees.
Intervenes immediately if disciplinary action is warranted.
Shows consistency between what they say and do.
Asks employees for their input in decisions that may directly affect the team.
Always remains calm and professional even in stressful situations.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Clearly identifies the issue to be resolved.
Evaluates the integrity and comparability of data and identifies existing gaps.
Helps employees see that changes in one part of the business can affect other parts.
Measures and assesses the potential loss in value of a portfolio under normal market conditions.
Has a solid grasp of basic research methodologies.
Decision Making	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Willing to consider information from other sources.
Has enough self-control to avoid making impulsive decisions.
Does not lose sight of the big picture when making decisions
Understands what factors are important for deciding if a decision is "worth it"?
Defines what constraints must be met for the decision making process.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Builds long term relationships with customers.
Views customer satisfaction as an everyday priority.
Transparent in all communications with the customer.
Keeps the customer informed of all progress.
Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Impresses upon others the important aspects of [Company].
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the use of [Company] products and services.
Attends [Company] gatherings and social events.
Understands how decisions impact other business units beyond their immediate department of work group.

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: