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
Accurately perceives the emotional reactions of others.
Able to understand others' points of view.
Is able to express themselves clearly.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to manage their own emotions.
Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Gives direct, constructive, and actionable feedback.
Highly effective supervisor.
Demonstrates leadership and courage in critical situations.
Effectively leads others.
Takes ownership and accountability for results
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...Overall Performance
Effective in performing his/her job.
Able to organize work.
...Produce Quality
Works well in this position.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Displays high energy and enthusiasm on consistent basis.
Completes a large volume of work.
Seeks and utilizes opportunities for continuous learning and self-development.
Conveys a sense of urgency about addressing problems and opportunities
Identifies ways to simplify work processes and reduce cycle times
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is a good problem solver and decision maker
Works cooperatively with others to solve problems.
Solves problems using logic and insight.
Effective in solving problems.
Identifies and assesses all potential responses to a problem.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks and utilizes opportunities for continuous learning and self-development.
Goes above and beyond the stated goals.
Takes the initiative to change the direction or course of events.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Takes action without being asked.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps others when free-time is available.
Works toward achievement of goals even when confronted with obstacles.
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Encourages a high-energy, fun work environment and coaches others on how to do the same
Stays focused on meeting the needs of customers.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is open to receiving feedback.
Recognizes and celebrates accomplishments of others.
Tries to ensure employees are ready to move to the next level.
Creates a work environment that fosters positive feedback to employees.
Creates opportunities for professional development.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Provides clear, motivating, and constructive feedback.
Conducts regular performance appraisals and feedback.
Develops the skills and capabilities of others.
Meets regularly with employees to coach them on areas that will enhance their performance
Helps employees to maintain high personal standards.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands their role within the organization.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Able to decline a poor strategy by proposing alternate strategies.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Looks for opportunities to enhance contributions to the bottom line.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes plans and follows through.
Delegates role to team members to accomplish goals.
Anticipates obstacles and ways to overcome them.
Able to identify the needs of the department before a major change.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.

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: