Innovation - 360 Degree Feedback Survey Sample #4

Dear Employee:

Welcome to our 360-Degree Feedback self-assessment questionnaire. Our objective is to provide feedback which will help advance your leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify areas where you are doing well and where you have opportunities to do better. Others will also complete the questionnaire to provide you with feedback.

We have developed this survey with questions tailored for your position in the department to provide you with an opportunity to rate many facets of your leadership performance.

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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Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You develop effective solutions for viewing problems from a different point of view.
I cultivate a culture of open communication where all ideas, no matter how unconventional, are welcomed and valued.
You suggest ways to improve processes and systems.
You suggest new ideas at meetings.
I utilize disruptive innovation to help managers transform conventional business models, making products and services more accessible and affordable.
Collaboration	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You work with other experts to solve problems.
You work with others to pool knowledge, ideas and resources to provide deeper insights into difficult issues.
I collaborate with others to resolve conflicts constructively.
You encourage open communication to support a collaborative environment.
I clearly articulate the importance of collaboration in the department's values and vision.
Teamwork	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I work with other team members on the project.
You provide assistance and support to other team members when needed
I took the time to listen to the team's ideas.
You demonstrate compassion and respect for others through actions; is concerned about their work and non-work issues
I help the team bounce back from obstacles to progress.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You adjust plans to meet the needs of new constraints.
You are willing to change ideas or perceptions based on new information or contrary evidence which is presented.
You are good at managing the unexpected.
You adapt to work successfully in a wide variety of situations and with a variety of coworkers.
You are able to adjust plans to meet new situations.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You maintain high attention to detail to ensure tests/experiments are replicable and results are reliable.
You select the appropriate techniques for analysis.
You measure and assesse the potential loss in value of a portfolio under normal market conditions.
I identify potential problem areas.
I test hypotheses, analyze experimental data, and draw conclusions.
Commitment	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I model unwavering dedication, setting a standard that motivate others to remain committed through challenges.
I celebrate milestones and achievements, reinforcing the importance of collective efforts toward commitments.
You align work with organizational values, ensuring decisions reflect unwavering commitment to results.
You demonstrate authentic passion, sparking loyalty and motivating employees to align their work with organizational priorities.
You maintain persistence and dedication to achieving results.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You take purposeful and persistent action to achieve goals.
I take the initiative to identify and address potential problems before they escalate.
I complete even the smallest of tasks to avoid causing any delay in the project.
You assign responsibility for each step in a project.
I set an exemplary standard of performance for others to follow.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You develop a sustainable safety culture.
You point out behaviors in others that may be unsafe.
You participate in safety training as applicable.
You support our company's safety programs.
You ensure that all supervisors are aware of regulatory and compliance measures.

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: