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
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to express themselves clearly.
Is able to control their own emotions.
Accurately perceives the emotional reactions of others.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Highly effective supervisor.
Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
Able to influence others.
Gives direct, constructive, and actionable feedback.
Acts decisively in implementing decisions.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Has great overall performance
Sets a high standard for job performance.
Listens and responds to issues and problems
Works well in this position.
...Produce Quality
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
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Completes a large volume of work.
Completes work on time
Motivates others to achieve or exceed goals
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ability to develop innovative solutions to problems.
Works cooperatively with others to solve problems.
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Finds creative ways to get things done with limited resources.
Effective in solving problems.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Acts quickly when an opportunity becomes available.
Independently seeks out new learning opportunities to improve their skills.
Prepares for unexpected contingencies.
Guides strategic initiatives to advance the department/organization.
Takes charge when there is a crisis.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Determines the proper order for completion of the tasks.
Focuses on achieving important goals.
Flexible in adjusting priorities to meet the demands of changing situations.
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Completes all assigned tasks.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports the successes of other employees.
Is open to receiving feedback.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Creates opportunities for professional development.
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
Helps employees to maintain high personal standards.
Meets regularly with employees to coach them on areas that will enhance their performance
Provides clear, motivating, and constructive feedback.
Develops the skills and capabilities of others.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops a strategic plan for adapting the organization to better respond to external changes in the marketplace.
Develops high-level strategic planning models to identify opportunities to improve the company.
Exploits resources and capabilities strategically to increase production and responsiveness.
Develops strategies to increase efficiency and reduce environmental impacts.
Understands & contributes to development of strategic goals.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ensures staff have the supplies and resources necessary to enact the plan.
Delegates role to team members to accomplish goals.
Adjusts and rearranges the schedule to maximize efficiency.
Assigns the right tasks to the right people and holds them accountable.
Prioritizes tasks based on urgency/need.

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: