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 revise the OKRs required for the position on a quarterly basis.
I make sure the team's goals are met.
You make sure commitments are understood and met.
You provide employees with training as needed to increase their performance.
You acknowledge employee contributions that support the bottom line.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You maintain strong relationships with others.
You accept responsibility for mistakes.
You demonstrate honesty and truthfulness at all times.
You follow tasks to completion.
You do what was promised.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You inspire others to learn new things.
You demonstrate through personal behavior the commitment to high standards of performance.
You hold self and associates accountable for goal achievement.
You are committed to enhancing your own knowledge and skills.
You enjoy learning new skills and techniques.
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 are gracious and professional in your interactions with others.
You contribute to a positive work environment.
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 understand how implicit biases can affect decisions, communication and productivity.
You are open to learning about different cultures.
I am aware of differences in how individuals from other cultures greet one another.
You communicate with others without the influence of racism.
You treat others with dignity and respect.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You have strong organizational skills to keep the workspace and department in order
You are able to develop, justify and present a budget.
You have a high attention to detail.
You have strong technical/computer skills.
You implement and use performance measures.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You generate alternative solutions to problems and challenges.
You solve problems using logic and insight.
You actively seek the root cause of a problem.
You work cooperatively with others to solve problems.
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
You actively listen to understand different perspectives and identify common interests.
You balance the strategic interests of those involved to maintain alliances.
You develop partnerships with senior leaders in the company.
You define a partnering strategy for identifying and selecting a partner.
You promote the understanding of how the department affects the organization overall.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are able to say "no" when it is essential to maintaining quality and high standards.
I listen to all sides without bias and make fair decisions.
You take steps to control emotional responses to avoid making rash decisions.
I create a constructive atmosphere, building a positive relationship for cooperative negotiations.
I am able to collaborate with others in solving problems to create solutions that satisfy both parties' interests.
Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You respect the opinions of other employees.
You constructively receive criticism and suggestions from others.
You are able to see issues from others' perspectives.
You treat others with respect and dignity.
You include others in the decision making processes.
Global Perspective	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You communicate effectively on a multi-lingual basis.
You analyze global issues/problems that are having a large impact on the Company.
You accept setbacks and challenges in foreign markets as improvement opportunities
You are able to work with individuals having different backgrounds and cultures.
You understand how cultures differ and how these differences impact work behavior.

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: