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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Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Motivates and challenges employees to attain a shared vision.
Effectively leads others.
Sets clear goals and objectives for subordinates.
Able to influence others.
Leads team to set goals, solve problems, and accomplish tasks.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Shown significant improvement in job performance.
Works well in this position.
Effectively organizes resources and plans
...Overall Performance
Effective in performing his/her job.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Accurately perceives the emotional reactions of others.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to manage their own emotions.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies ways to simplify work processes and reduce cycle times
Motivates others to achieve or exceed goals
Displays high energy and enthusiasm on consistent basis.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Encourages risk taking and experimentation to improve performance
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates a project plan to implement the solution and collects all required resources.
Takes preventative action to address issues before they become difficult to manage.
Conducts a meticulous investigation of incidents to ensure no possible cause is overlooked.
Stays positive and driven despite obstacles.
Acknowledges the unique viewpoints and perspectives of other team members to lead to more innovative and comprehensive solutions.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes action without being asked.
Takes on additional tasks without being asked or told to do so.
Acts quickly when an opportunity becomes available.
Actively works on resolving the issue instead of procrastinating or hoping it will resolve itself.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Persists in seeking objectives despite obstacles or setbacks.
Has a positive attitude that encourages others to continue supporting the production goals.
Identifies what needs to be accomplished.
Keeps track of progress toward the results.
Makes changes to the plans if it will result in increased output.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is open to receiving feedback.
Sets performance objectives for subordinates that encourages development opportunities.
Creates a work environment that fosters positive feedback to employees.
Assesses employees' developmental needs.
Tries to ensure employees are ready to move to the next level.
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.
Addresses employee behavior problems effectively.
Provides clear, motivating, and constructive feedback.
Helps employees to maintain high personal standards.
Develops the skills and capabilities of others.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates measures of performance and profitability to assess financial objectives.
Pursues strategic alliances with valued partners.
Develops high-level strategic planning models to identify opportunities to improve the company.
Develops an organizational strategy for each functional area within the mission statement.
Creates values statement to ensure all employees are working under the same guiding principles.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Accurately estimates the amount of materials/supplies needed for the project.
Creates plans to handle complex, multi-faceted projects.
Creates effective logistics plans to achieve high operational efficiency.
Establishes a course of action for self and others to accomplish specific goals.
Develops proper plans to ensure seamless flow of materials through logistics.

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: