Innovation - 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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Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes current procedures and identifies opportunities for improvement.
Challenges current procedures to develop other alternatives.
Builds upon the ideas and solutions of others.
Offers constructive improvements to existing systems.
Suggests new ideas at meetings.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages commitment in others to obtain results.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Committed to the team.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks to reduce the likelihood of accidents.
Participates in safety training as applicable.
Is aware of OSHA safety guidelines.
Performs work safely.
Works to implement corrective safety measures.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works effectively during periods of change.
Adapts to circumstances as needed.
Encourages others to adopt new procedures.
Can handle changes without complaining.
Able to adapt to new situations.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Flexible and open to new ideas and encourages others to value change.
Able to quickly learn new ways of performing their job.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Is proactive and takes steps to prepare for changes in the workplace.
Works effectively in dynamic and changing work environments.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Conveys a sense of urgency about addressing problems and opportunities
Seeks and utilizes opportunities for continuous learning and self-development.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Motivates others to achieve or exceed goals
Completes a large volume of work.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Can effectively interpret and analyze data.
Asks the "right" questions to size up or evaluate situations.
Actively seeks constructive feedback from others.
Uses appropriate techniques to solve problems.
Analyzes data and information from several sources and arrives at logical conclusions.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes the initiative to change the direction or course of events.
Takes action without being asked.
Seeks and utilizes opportunities for continuous learning and self-development.
Goes above and beyond the stated goals.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.

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

    -Excellent -Good -Average -Poor

    
    

42. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
43. 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?
    
    
    
    
44. What changes do you see [Company] making in order to raise the standards?
    
    
    
45. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
    
46. What do you like best about working for [Company]?
    
    
    
47. 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: