Management - 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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Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is ready to offer help
Sets an example for others to follow
Delegate tasks effectively
Makes you feel enthusiastic about your work
Keep staff informed about what is happening in the company
Establishing Focus/Direction	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains focus when handling several problems or tasks simultaneously.
Maintains self-control when personally criticized.
Makes sure that employees understand and identify with the team's mission.
Aligns the department's goals with the goals of the organization.
Makes sure that employees understand how their work relates to organizational goals.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes issues and reduces them to their component parts.
Prioritizes various actions to be taken when solving a problem.
Identifies opportunities for progress and innovation.
Balances risks and costs with the rewards and probabilities of success when decisions.
Identifies problems and issues needing resolution.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to develop, justify and present a budget.
High attention to detail.
Implements and uses performance measures.
Has strong technical/computer skills.
Enthusiastic about taking on challenging projects.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Customizes novel ideas to better address customer needs and preferences.
Modifies innovative initiatives to capitalize on strengths and mitigate potential risks.
Values diverse opinions among team members.
Creates a framework to support innovation.
Builds upon the ideas and solutions of others.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effectively organizes resources and plans
Assures [Company] principles are understood, employed & pursued.
Sets long-term and short-term goals.
Able to organize work.
Organizes and schedules events, activities, and resources.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Looks for ways to improve work processes and procedures.
Open to the suggestions from others.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Looks for ways to expand and learn new job skills.
Promotes training and development opportunities to enhance job performance.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports the successes of other employees.
Provides constructive feedback to others.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Is open to receiving feedback.
Creates opportunities for professional development.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps employees to understand responsibilities, authority, and expectations.
Develops the skills and capabilities of others.
Meets regularly with employees to coach them on areas that will enhance their performance
Conducts regular performance appraisals and feedback.
Helps employees to maintain high personal standards.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adapts strategies to better meet the needs of the moment.
Fully grasps both party's interests and options.
Engages in questioning to obtain necessary information and examine various alternatives.
Influences others through rational argument and persuasion.
Establishes good working relationships with others.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Follows existing procedures and processes.
Expresses loyalty and dedication to [Company] in interactions with others.
Impresses upon others the important aspects of [Company].
Understands how decisions impact other business units beyond their immediate department of work group.
Understands the use of [Company] products and services.

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: