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
Makes you feel enthusiastic about your work
Sets an example for others to follow
Keep staff informed about what is happening in the company
Takes responsibility for things that go wrong
Delegate tasks effectively
Establishing Focus/Direction	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains self-control when personally criticized.
Makes sure that employees understand how their work relates to organizational goals.
Functions well under stress, deadlines, and/or significant workloads.
Stays focused even when under pressure and stress.
Aligns the department's goals with the goals of the organization.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Asks the "right" questions to size up or evaluate situations.
Implements data validation techniques and methods.
Prioritizes various actions to be taken when solving a problem.
Identifies opportunities for progress and innovation.
Uses appropriate techniques to solve problems.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
High attention to detail.
Takes responsibility for decisions.
Strong organizational skills to keep the workspace and department in order
Accurately implements contract provisions.
Has strong technical/computer skills.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Challenges current procedures to develop other alternatives.
Offers constructive improvements to existing systems.
Builds upon the ideas and solutions of others.
Suggests new ideas at meetings.
Searches for opportunities and innovative ways to improve the organization.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages me to take on greater responsibility.
Communicates goals and objectives to employees.
Able to organize work.
Establishes goals and objectives.
Effectively organizes resources and plans
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Open to the suggestions from others.
Analyzes processes to determine areas for improvement.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Looks for ways to expand current job responsibilities.
Looks for ways to improve work processes and procedures.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports the successes of other employees.
Sets performance objectives for subordinates that encourages development opportunities.
Provides constructive feedback to others.
Creates a work environment that fosters positive feedback to employees.
Is open to receiving feedback.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Addresses employee behavior problems effectively.
Provides clear, motivating, and constructive feedback.
Conducts regular performance appraisals and feedback.
Helps employees to understand responsibilities, authority, and expectations.
Develops the skills and capabilities of others.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Leverages relationships with others to achieve goals.
Influences others through rational argument and persuasion.
Able to adapt to changing situations.
Stays calm and focuses on the core issues to be discussed.
Able to control their emotional responses and correctly gauge the emotions of others.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands the "basics" as to how [Company] functions/operates.
Expresses loyalty and dedication to [Company] in interactions with others.
Impresses upon others the important aspects of [Company].
Attends [Company] gatherings and social events.
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: