Juggling Multiple Responsibilities - 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.

---

Juggling Multiple Responsibilities	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Builds in extra time in the schedule for unplanned events/occurrences.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Coordinates the work of a team by assigning tasks to other team members.
Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
Decision Making	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
Performs a cost/benefit analysis before making a decision.
Determines constraints that may impact what decisions are acceptable.
Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
Gathers information before making a decision.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Anticipates what needs to be done and makes necessary preparations.
Takes corrective action to address performance deficiencies/issues.
Begins immediate action on projects.
Takes action to establish clear and concise deadlines for tasks to be completed.
Helps the department take the initiative to create new solutions.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies opportunities for progress and innovation.
Implements data validation techniques and methods.
Uses appropriate techniques to solve problems.
Analyzes issues and reduces them to their component parts.
Prioritizes various actions to be taken when solving a problem.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrates honesty and truthfulness at all times.
Demonstrates sincerity in actions with others.
Accepts responsibility for mistakes.
Follows tasks to completion.
Fosters a high standard of ethics and integrity.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Stays up-to-date on emerging technologies.
Constantly enhances product knowledge through experimentation and play.
Takes advantage of training opportunities when they arise.
Is open to feedback from others.
Demonstrates through personal behavior the commitment to high standards of performance.
Attitude	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Contributes to a positive work environment.
Visibly supports and encourages diversity in style and background.
Works to eliminate unnecessary work or barriers that get in others' way.
Shows by their actions that they trust in the positive intentions of others.
Contributes to a positive and fun work environment.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is fair and equitable in enforcement of work rules.
Provides guidance and support to help employees achieve their goals.
Seeks to enhance the performance of employees under their supervision.
Maintains good working relationships with employees.
Determines appropriate staffing levels for the job.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is above average in addressing the needs of the customers.
Uses feedback from customers to help improve services.
Tailors solutions to meet the specific needs of each customer.
Is consistent in services provided to customers.
Prioritizes customer issues based on urgency.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands the "basics" as to how [Company] functions/operates.
Expresses loyalty and dedication to [Company] in interactions with others.
Attends [Company] gatherings and social events.
Impresses upon others the important aspects of [Company].
Follows existing procedures and processes.

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: