Managing Performance - 360 Degree Feedback Survey Sample #4

Dear Employee:

Welcome to our 360-Degree Feedback self-assessment questionnaire. Our objective is to provide feedback which will help advance your leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify areas where you are doing well and where you have opportunities to do better. Others will also complete the questionnaire to provide you with feedback.

We have developed this survey with questions tailored for your position in the department to provide you with an opportunity to rate many facets of your leadership performance.

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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Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You ensure employees are trained in areas where performance may be lacking.
You identify specific actions to be addressed through the remediation plan.
You set specific and measurable goals for others and follows through to completion.
I implement remediation plans that include specific performance goals in areas most in need of improvement.
You assign additional responsibilities to facilitate internal employee promotions.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You protect the integrity and confidentiality of information
You accept responsibility for mistakes.
You establish relationships of trust, honesty, fairness, and integrity.
You develop trust and confidence from others.
You demonstrate honesty and truthfulness at all times.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You create an environment that supports personal development and exploration.
You are open minded and curious about learning new skills.
You take advantage of training opportunities when they arise.
You inspire others to learn new things.
You are committed to enhancing your own knowledge and skills.
Attitude	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are gracious and professional in your interactions with others.
You show by your actions that you trust in the positive intentions of others.
You build open and trusting relationships.
You contribute to a positive and fun work environment.
You treat all people fairly and with respect.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You hire individuals with different cultural backgrounds for the department.
I interact effectively with people from different cultural backgrounds.
I view diversity as a strength, not as an issue.
You understand how your own cultural background can impact the way you communicate and interact with others.
You communicate with others without the influence of racism.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You have a high attention to detail.
You are able to develop, justify and present a budget.
You complete reports on-time.
You accurately implement contract provisions.
You have strong organizational skills to keep the workspace and department in order
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You find creative ways to get things done with limited resources.
You make judgments based upon relevant information.
You are a good problem solver and decision maker
You actively seek the root cause of a problem.
You are able to solve problems at root cause rather than at symptom level.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You maintain infrastructure to support partnerships and networks.
You support and encourage relationships that are created by diverse team members.
You create value within the Company by building networks.
You partner with peers to obtain influence within the Company.
You capitalize on partnerships and networks to enhance the Company's bottom line.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You leverage relationships with others to achieve goals.
You understand the expectations of other parties in the negotiation.
You maintain good interpersonal relationships with representatives from the other party.
You are able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
You identify verbal and nonverbal cues to help interpret actions and messages.
Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You support the efforts of other employees in implementing solutions to problems.
You treat others with respect and dignity.
You consistently demonstrate ability and willingness to trust others.
You are able to see issues from others' perspectives.
You treat others with respect and dignity.
Global Perspective	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You analyze global issues/problems that are having a large impact on the Company.
You collaborate with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
You understand and appreciate the perspectives offered by others with different cultural backgrounds.
You understand global systems such as the global economy.
You apply knowledge of overseas markets.

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: