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 team members receive rewards for positive performance accomplishments.
You make sure commitments are understood and met.
You identify specific actions to be addressed through the remediation plan.
I implement remediation plans that include specific performance goals in areas most in need of improvement.
You obtain commitment from employees regarding completion of tasks.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You do what was promised.
You establish relationships of trust, honesty, fairness, and integrity.
You maintain strong relationships with others.
You foster an environment built upon trust.
You protect the integrity and confidentiality of information
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You stay up-to-date on emerging technologies.
You take initiative for own learning and development.
You create an environment that supports personal development and exploration.
You exhibit willingness to upgrade skills through additional training and education.
You take advantage of training opportunities when they arise.
Attitude	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You show by your actions that you trust in the positive intentions of others.
You contribute to a positive work environment.
You treat all people fairly and with respect.
You contribute to a positive and fun work environment.
You visibly support and encourages diversity in style and background.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You show respect in daily interactions
You accept individual differences.
I am aware of my cultural views.
You are open and honest in communications with individuals from other cultures.
You maintain an inclusive work environment that maximizes the talents of others in achieving goals.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You accurately implement contract provisions.
You complete reports on-time.
You have strong organizational skills to keep the workspace and department in order
You are enthusiastic about taking on challenging projects.
You are able to develop, justify and present a budget.
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 identify and assess all potential responses to a problem.
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
You identify fresh approaches and shows a willingness to question traditional assumptions.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I actively prevent conflicts by identifying issues early and resolving them promptly.
You optimize processes by leveraging each function's strength.
You esure all participants in the network are treated fairly and equitably.
I engage in collaborative training sessions or workshops to build skills across organizations.
You build alliances between departments and teams.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I develop a unified understanding or strategy that acknowledges and addresses the different viewpoints and resolves conflicts.
I clearly understand the interests and choices of both parties.
I demonstrate confidence in my positions and can influence the other party's perception of proposals being offered.
I am aware of potential emotional triggers that could negatively impact the negotiations.
You are aware of the needs of the other party.
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 are able to see issues from others' perspectives.
You constructively receive criticism and suggestions from others.
You respect the opinions of other employees.
You include others in the decision making processes.
Global Perspective	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You demonstrate working knowledge of global transactions.
You can effectively deliver presentations to international clients.
You attend training seminars and conferences to increase skills in working with others globally.
You understand global systems such as the global economy.
You are able to listen and understand others and discuss issues in a respectful way.

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: