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
Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
Plans and organizes continuously while performing all other responsibilities and activities.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Bounces back from daily crisis, disappointments and frustrations.
Decision Making	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks input from key people who should be involved in, or will be affected by, decisions
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
Does not lose sight of the big picture when making decisions
Is able to make decisions quickly.
Exercises good judgment by making sound and informed decisions.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes the initiative to change the direction or course of events.
Prepares for unexpected contingencies.
Seeks and utilizes opportunities for continuous learning and self-development.
Goes above and beyond the stated goals.
Immediately works to complete goals well before their deadline.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Prioritizes various actions to be taken when solving a problem.
Uses appropriate techniques to solve problems.
Identifies opportunities for progress and innovation.
Identifies problems and issues needing resolution.
Selects the appropriate techniques for analysis.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains strong relationships with others.
Demonstrates honesty and truthfulness at all times.
Establishes relationships of trust, honesty, fairness, and integrity.
Fosters a high standard of ethics and integrity.
Demonstrates sincerity in actions with others.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Holds self and associates accountable for goal achievement.
Actively seeks to learn by asking questions and listening to all store associates.
Constantly enhances product knowledge through experimentation and play.
Critiques own performance and learns from experience as a source of continuous improvement.
Is motivated by the desire to be "the best".
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.
Contributes to a positive and fun work environment.
Shows by their actions that they trust in the positive intentions of others.
Treats all people fairly and with respect.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains good working relationships with employees.
Treats all staff equitably.
Provides constructive, ongoing feedback.
Resolves personnel problems quickly and effectively.
Delegates effectively.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops good rapport and trust with the customer.
Considers customers point of view when making decisions.
...friendliness and courtesy
Maintains positive customer relationships.
Develops strong customer relationships.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands how decisions impact other business units beyond their immediate department of work group.
Follows existing procedures and processes.
Expresses loyalty and dedication to [Company] in interactions with others.
Attends [Company] gatherings and social events.
Understands the "basics" as to how [Company] functions/operates.

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: