Managing Risk - 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 Risk	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You base decisions on patterns found in fluid/changing information.
You reward innovative experiments to try new ideas.
You maintain open communication with other departments.
You seek to retain the best and brightest employees.
You seek to maintain the long-term viability of the Company.
Business Acumen	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You understand complex issues and problems.
You exhibit behavior that is consistent with the vision, mission, and core values of the organization
You ask the 'right' questions to size up or evaluate situations.
You are able to align resources to meet the business needs of the company.
You consider impact of actions on other areas of the organization.
Vision	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You create a common vision for others.
You expresse the Company vision in a way that is easily understood and adopted by employees.
You communicate the vision and strategy of [Company]
You communicate a vision of where the Company needs to be in the future.
You persuade others to follow the Company's vision.
Communication Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are able to demonstrate persuasiveness in pursuit of objectives.
You listen to others' points of view with an open mind
You communicate effectively with all levels of the organization.
You are an effective communicator
You present issues, ideas, and strategy concisely and clearly.
Creativity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You conceive, implement and evaluate ideas.
You are creative.
You are creative and inspirational.
You create a lot of new ideas.
You add value to the department/organization.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You demonstrate sincerity in actions with others.
You foster a high standard of ethics and integrity.
You establish relationships of trust, honesty, fairness, and integrity.
You maintain strong relationships with others.
You demonstrate honesty and truthfulness at all times.
Professional Development	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You keep yourself up-to-date of technical/professional issues
You encourage employees to take courses relevant to their job.
You quickly acquire and apply new knowledge and skills when needed
You seek opportunities for continuous learning.
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are able to understand others' points of view.
You accurately perceive the emotional reactions of others.
You help to make decisions and solve problems using knowledge about how others will react in certain situations.
You are able to express yourself clearly.
You help employees to resolve conflicts, communicate clearly, and work together to solve problems.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You work toward achievement of goals even when confronted with obstacles.
You provide clear expectations for employees.
You stay focused on meeting the needs of customers.
You inspire and motivates co-workers to be productive and energetic at work
You explain the "whys" behind organizational objectives

46. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




47. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    


48. 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?
    
    
    


49. What changes do you see [Company] making in order to raise the standards?
    
    


50. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    


51. What do you like best about working for [Company]?
    
    


52. 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: