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
Uses a scheduler/planner to keep tasks organized and on time.
Prioritizes tasks for efficiency.
Ensures that assignments are prioritized according to the needs of the department/company.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Ranks the importance of tasks to make sure critical tasks are completed first.
Decision Making	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Willing to consider information from other sources.
Evaluates information before making a final decision.
Regularly evaluates information before making important decisions.
Facilitates meetings with others to try to consider alternative courses of action.
Takes into account the impact decisions will have on others.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Immediately works to complete goals well before their deadline.
Completes tasks without having to be told to do so.
Is proactive when preparing for potential problems or critical events.
Is an inspiration for others to perform above expectations.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes issues and reduces them to their component parts.
Selects the appropriate techniques for analysis.
Asks the "right" questions to size up or evaluate situations.
Identifies problems and issues needing resolution.
Implements data validation techniques and methods.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Fosters an environment built upon trust.
Develops trust and confidence from others.
Establishes relationships of trust, honesty, fairness, and integrity.
Protects the integrity and confidentiality of information
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.
Creates an environment that supports personal development and exploration.
Inspires others to learn new things.
Takes advantage of training opportunities when they arise.
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 work environment.
Shows by their actions that they trust in the positive intentions of others.
Builds open and trusting relationships.
Visibly supports and encourages diversity in style and background.
Contributes to a positive and fun work environment.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Provides clear expectations of outcomes during performance reviews.
Is a calming force during stressful periods.
Holds employees accountable for work assignments.
Instructs employees on the proper way to perform tasks.
Fosters a positive work environment in the department.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Consistently meets customer's needs.
Focuses on providing excellent customer service.
Puts customer's needs first.
Gets feedback from the customer on a weekly basis.
Provides a high level of service to customers.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Impresses upon others the important aspects of [Company].
Follows existing procedures and processes.
Attends [Company] gatherings and social events.
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the use of [Company] products and services.

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: