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 understand the goals of the organization/department.
You review job performance shortly after completion of tasks.
You address poor performance sooner rather than later.
You set specific and measurable goals for others and follows through to completion.
You routinely hold audits of performance on a weekly or monthly basis.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You establish relationships of trust, honesty, fairness, and integrity.
You follow tasks to completion.
You foster a high standard of ethics and integrity.
You accept responsibility for mistakes.
You do what was promised.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You exhibit willingness to upgrade skills through additional training and education.
You will participate in training classes even if offered outside of normal working hours.
You demonstrate through personal behavior the commitment to high standards of performance.
You are open to feedback from others.
You recognize own areas for development and consciously seek assignments that will provide practice in areas of developmental need.
Attitude	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You contribute to a positive work environment.
You contribute to a positive and fun work environment.
You are gracious and professional in your interactions with others.
You visibly support and encourages diversity in style and background.
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
I recognize individual and cultural differences.
You show respect in daily interactions
I actively listen to other employees' stories about their culture.
You acknowledge your own biases in cultural interactions.
I am effective in working with individuals with a variety of cultural backgrounds.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You complete reports on-time.
You accurately implement contract provisions.
You are able to develop, justify and present a budget.
You have strong technical/computer skills.
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 identify fresh approaches and shows a willingness to question traditional assumptions.
You work cooperatively with others to solve problems.
You implement effective solutions to critical problems.
You generate alternative solutions to problems and challenges.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You forge mutually beneficial relationships between individuals with diverse backgrounds.
You support and encourage relationships that are created by diverse team members.
You support a partnering/networking culture.
You create value within the Company by building networks.
You collaborate with others to accomplish goals and objectives.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are able to influence others to accept certain positions.
You are able to clearly express thoughts and concerns.
You are able to decline bad ideas to avoid making poor decisions.
You change communication styles to meet the listener's needs.
You resolve difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You include others in the decision making processes.
You consistently demonstrate ability and willingness to trust others.
You treat others with respect and dignity.
You form working relationships with employees from other departments.
You support the efforts of other employees in implementing solutions to problems.
Global Perspective	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You attend training seminars and conferences to increase skills in working with others globally.
You analyze global issues/problems that are having a large impact on the Company.
You work well with others from different cultural backgrounds.
You have positive interactions with individuals from different cultures and backgrounds.
You understand global systems such as the global economy.

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: