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 are concerned about process safety management.
You are committed to implementing rules and procedures to minimize risk.
You accurately perceive potential risks in the workplace and initiates preventative measures.
You are aware of appropriate actions to minimize risks.
I ensure all components of risk management are in place.
Business Acumen	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I understand how strategic decisions impact constituents within the Company.
You have conversations with customers and clients to get a better insight into their business needs.
You assist others in understanding business changes.
I collect valuable customer insights to ensure our services meet their needs.
I gather important information from customers to make sure our products are relevant and useful.
Vision	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I articulate a vision for the department that is aligned with the division/company's vision.
You can formulate and implement the organization's vision.
I am skilled in developing and realizing a comprehensive organizational vision.
I foster a culture that aligns with the organization's vision.
You craft a compelling vision that motivates employees to align their efforts with the organization's goals.
Communication Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I am willing to express my concerns to colleagues.
You deliver well-prepared, informed, poised and succinct presentations.
You make the complex simple.
I articulate ideas and emotions clearly to others.
I am willing to accept feedback from others.
Creativity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are creative.
You conceive, implement and evaluate ideas.
You add value to the department/organization.
You inspire creativity in your team.
You create a lot of new ideas.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You foster a high standard of ethics and integrity.
You maintain strong relationships with others.
You foster an environment built upon trust.
You protect the integrity and confidentiality of information
You demonstrate honesty and truthfulness at all times.
Professional Development	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You encourage employees to take courses relevant to their job.
You quickly acquire and apply new knowledge and skills when needed
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
You keep yourself up-to-date of technical/professional issues
You allow employees to fully participate in employee training and professional development.
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 are attentive to emotional cues and interprets others' feelings correctly.
You are able to manage your own emotions.
You are able to control your own emotions.
You are able to express yourself clearly.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You achieve high levels of performance.
I identify what needs to be accomplished.
You respond to changing events to maintain progress toward achieving results.
You determine the parts of the project that need completed first.
You stay focused on meeting the needs of customers.

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: