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.

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Juggling Multiple Responsibilities	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Plans and organizes continuously while performing all other responsibilities and activities.
Can multitask while performing all of their other responsibilities and activities.
Decision Making	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Defines what constraints must be met for the decision making process.
Uses reasonable assumptions and logic to decide between alternate courses of action
Comes across as confident, decisive, and resilient
Outlines the parameters influencing the decision making process.
Facilitates meetings with others to try to consider alternative courses of action.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Expands the offerings of the department by working evenings and weekends.
Volunteers time and effort toward the completion of important goals.
Acts with urgency when time is of the essence.
Initiates important conversation topics at meetings.
Takes the initiative to solve pressing issues.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Evaluates evidence for accuracy and relevance.
Analyzes and consolidates data from several sources to develop logical insights.
Recognizes that all parts of a business are connected where a change in one area can impact others in unexpected ways.
Prioritizes precision in the data collection process.
Creates detailed budgets that guide financial planning and decision-making.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrates honesty and truthfulness at all times.
Maintains strong relationships 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
Holds self and associates accountable for goal achievement.
Stays up-to-date on emerging technologies.
Creates an environment that supports personal development and exploration.
Is committed to enhancing their own knowledge and skills.
Enjoys learning new skills and techniques.
Attitude	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Contributes to a positive and fun work environment.
Is gracious and professional in their interactions with others.
Visibly supports and encourages diversity in style and background.
Builds open and trusting relationships.
Works to eliminate unnecessary work or barriers that get in others' way.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adopts a measured approach to resolving workplace issues, ensuring that actions are not taken hastily.
Is diligent about completing performance assessments on time.
Demonstrates exemplary work performance that others should follow.
Measures job performance fairly using established criteria.
Provides feedback referencing specific instances or examples of behaviors.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains up-to-date information regarding customer products.
Creates innovative solutions to meet customer needs.
Creates high quality products for the customers.
Adapts to changing customer needs.
Fulfills commitments made to customers.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Expresses loyalty and dedication to [Company] in interactions with others.
Understands how decisions impact other business units beyond their immediate department of work group.
Impresses upon others the important aspects of [Company].
Understands the "basics" as to how [Company] functions/operates.
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: