Leadership - 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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Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to express themselves clearly.
Is attentive to emotional cues and interprets others' feelings correctly.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Accurately perceives the emotional reactions of others.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrates leadership and courage in critical situations.
Sets a high level of performance expectations and challenges others to do the same.
Motivates and challenges employees to attain a shared vision.
Holds others accountable for their actions.
Is a highly effective supervisor.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...Produce Quality
Effectively organizes resources and plans
Listens and responds to issues and problems
Able to organize work.
Works effectively in the department.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Motivates others to achieve or exceed goals
Completes work on time
Completes a large volume of work.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is a good problem solver and decision maker
Implements effective solutions to critical problems.
Understands the root causes of problems.
Makes judgments based upon relevant information.
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes tasks without having to be told to do so.
Addresses small problems before they become big ones.
Initiates draft documents for the director.
Initiates important conversation topics at meetings.
Looks for opportunities to move projects forward.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies the steps needed to accomplish the results.
Holds self and others accountable for achieving results.
Views obstacles as opportunities to improve self.
Holds others accountable for producing high quality work.
Prioritizes goals to complete those in urgent need first.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Tries to ensure employees are ready to move to the next level.
Recognizes and celebrates accomplishments of others.
Sets performance objectives for subordinates that encourages development opportunities.
Creates opportunities for professional development.
Provides constructive feedback to others.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Meets regularly with employees to coach them on areas that will enhance their performance
Conducts regular performance appraisals and feedback.
Develops the skills and capabilities of others.
Helps employees to maintain high personal standards.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes plans to handle unforeseen events that could impact the achievement of strategic goals.
Identifies and understands competitors in the marketplace.
Creates a SWOT matrix to help analyze data.
Creates a vision for the organization based on how the organization should appear in the future.
Identifies and focuses resources on strategic growth opportunities.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes strategic and tactical decisions to guide the logistics process.
Able to stay organized and focused using excellent planning skills.
Determines staffing needs for the project/department.
Establishes and monitors timeframes and timelines.
Develops strategic plans for ensuring competitiveness in the marketplace.

56. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




57. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
58. 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?
    
    
    
59. What changes do you see [Company] making in order to raise the standards?
    
    
    
60. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
61. What do you like best about working for [Company]?
    
    
    
62. 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: