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
Switches attention to more urgent tasks when necessary.
Assigns tasks based on skills of team members.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Organizes tasks for the most efficient order of completion.
Ensures that assignments are prioritized according to the needs of the department/company.
Decision Making	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Remains focused on the immediate goal when making decisions.
Aligns choices with organizational goals by calculating expected value and costs.
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
Connects unrelated concepts or data points to form innovative solutions that others may overlook.
Recognizes and generates innovative solutions.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Initiates the development of new products.
Acts quickly to address any issues or problems.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Seeks and utilizes opportunities for continuous learning and self-development.
Is a self-starter. Does not wait to be told to do something.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands how to develop critical and analytical thinking.
Analyzes financial statements over multiple periods to identify patterns and trends in revenue, expenses, and profits.
Understands the basic principles of research.
Able to interpret and analyze data.
Uses methods to confirm theories with real-world evidence.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Conducts regular audits of data protection practices.
Fosters a culture of trust and ethical behavior throughout the organization.
Ensures all commitments and promises are fulfilled, showcasing reliability and unwavering dedication to ethical principles.
Follows through on your commitments, which builds trust and confidence.
Fosters a culture of professionalism and mutual respect.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrates through personal behavior the commitment to high standards of performance.
Embraces new technology and procedures.
Creates an environment that supports personal development and exploration.
Is committed to enhancing their own knowledge and skills.
Is open minded and curious about learning new skills.
Attitude	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Contributes to a positive and fun work environment.
Highlights progress and effort, even if outcomes are still emerging.
Volunteers willingly for assignments.
Encourages the team to experiment and learn, reinforcing that setbacks are a natural part of progress.
Embraces unexpected challenges with a calm, solution-oriented mindset.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements disciplinary policy in accordance with the union contract
Fosters a culture of personal responsibility and accountability.
Conveys instructions, directives and guidelines to the employees.
Spends time to actively listen to the grievance.
Shows consistency between what they say and do.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Gives feedback to the customer regularly.
Uses feedback from customers to help improve services.
Adapts to changes proposed by the customer.
Coaches team members to continuously improve their customer interactions.
Meets with customers on a regular basis.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is very clear about the direction of the company.
Creates flexibility in staffing to adapt to changes.
Ensures staffing levels support both current needs and future growth.
Communicates the importance of company initiatives with clarity and enthusiasm.
Anticipates resource needs and proactively secures tools that support evolving workflows.

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: