Juggling Multiple Responsibilities - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to the Employee Survey. Our objective is to understand and express the values which will ensure is an exceptional place to work. 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 our staff and business to provide you with an opportunity to anonymously rate many facets of the business. The survey will assess what you value most in your employment 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 and . 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.
Can multi-task while performing all of their other responsibilities and activities.
Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Assesses current capabilities before committing to new requests from customers.
Decision Making	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
Exercises good judgment by making sound and informed decisions.
Seeks input from key people who should be involved in, or will be affected by, decisions
Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
Is able to make decisions quickly.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes action without being asked.
Seeks and utilizes opportunities for continuous learning and self-development.
Prepares for unexpected contingencies.
Immediately works to complete goals well before their deadline.
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
Asks the "right" questions to size up or evaluate situations.
Actively seeks constructive feedback from others.
Identifies the root cause of a problem.
Analyzes data and information from several sources and arrives at logical conclusions.
Can effectively interpret and analyze data.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Does what was promised.
Maintains strong relationships with others.
Demonstrates sincerity in actions with others.
Protects the integrity and confidentiality of information
Accepts responsibility for mistakes.
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.
Holds self and associates accountable for goal achievement.
Persists until goals are achieved and commitments are met.
Is motivated by the desire to be "the best".
Critiques own performance and learns from experience as a source of continuous improvement.
Attitude	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Shows by their actions that they trust in the positive intentions of others.
Treats all people fairly and with respect.
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
Maintains good working relationships with employees.
Resolves personnel problems quickly and effectively.
Delegates effectively.
Provides constructive, ongoing feedback.
Encourages employees to achieve their full potential.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains positive customer relationships.
Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
Ensures all customer commitments and requirements are met or exceeded.
Develops good rapport and trust with the customer.
Considers customers point of view when making decisions.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Attends [Company] gatherings and social events.
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the "basics" as to how [Company] functions/operates.
Follows existing procedures and processes.
Understands how decisions impact other business units beyond their immediate department of work group.

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: