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 ensure employees understand their performance expectations.
I use existing performance frameworks to define measures of performance.
I link qualitative objectives to quantitative key results.
You ensure the eligibility of the proposed award recipient.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You demonstrate honesty and truthfulness at all times.
You accept responsibility for mistakes.
You do what was promised.
You foster an environment built upon trust.
You follow tasks to completion.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You recognize own areas for development and consciously seek assignments that will provide practice in areas of developmental need.
You exhibit willingness to upgrade skills through additional training and education.
You demonstrate a willingness to participate in continuing education courses.
You inspire others to learn new things.
You enjoy learning new skills and techniques.
Attitude	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You contribute to a positive work environment.
You visibly support and encourages diversity in style and background.
You contribute to a positive and fun work environment.
You build open and trusting relationships.
You show by your actions that you trust in the positive intentions of others.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You value the opinions of diverse groups and individual.
You understand the impact that your culture may have on interactions between individuals.
I help other employees to become more culturally sensitive.
I participate in cultural training sessions/classes.
I seek to reduce obstacles in communication that might arise from cultural differences.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You accurately implement contract provisions.
You take responsibility for decisions.
You complete reports on-time.
You are enthusiastic about taking on challenging projects.
You have strong technical/computer skills.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You identify fresh approaches and shows a willingness to question traditional assumptions.
You solve problems using logic and insight.
You understand the root causes of problems.
You are able to balance the needs of different people in a solution to a problem.
You are a good problem solver and decision maker
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I participate in roundtables or panel discussions to share insights and gain perspectives.
You supports strategic alliances to combine strengths of both parties.
I implement effective oversight of network activities.
You optimize processes by leveraging each function's strength.
You seek to reduce institutional roadblocks to information sharing.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You maintain good interpersonal relationships with representatives from the other party.
You actively listen to conversations to be able to recall important details later.
You know the current business/market environment.
You fully grasp both party's interests and options.
You are resolute when stating priorities and non-negotiables.
Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You treat others with respect and dignity.
You support the efforts of other employees in implementing solutions to problems.
You are able to see issues from others' perspectives.
You are able to see issues from others' perspectives.
You work across boundaries within the organization.
Global Perspective	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You set the example for team on importance of cultural awareness.
You are comfortable using teleconferencing equipment to facilitate meetings with others abroad.
You respect individual differences.
You can effectively deliver presentations to international clients.
You communicate effectively on a multi-lingual basis.

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: