Objectives - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

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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Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets long-term and short-term goals.
Assures [Company] principles are understood, employed & pursued.
Able to organize work.
Communicates goals and objectives to employees.
Encourages me to take on greater responsibility.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes full responsibility for unmet expectations and makes corrective actions immediately.
Holds team accountable to meeting goals.
Takes full responsibility for lack of results achieved.
Takes responsibility for the team's actions and results.
Welcomes the responsibility for meeting the broad range of needs of stakeholders and clients.
Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes effective decisions, even when under pressure.
Starts immediately working on assignments.
Avoids "Analysis Paralysis" through action.
Anticipates needs and takes pre-emptive action to address the issue.
Successfully identifies the right person for a job when distributing tasks.
Continual Learning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Builds on their strengths while addressing their weaknesses.
Participates in regular training offered.
Shares best practices with others and learns from others.
Expands their educational and future learning opportunities.
Takes charge of their training and skills enhancement.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Anticipates potential problems and institutes controls and contingency plans to address them.
Successfully negotiated contracts with suppliers.
Organizes work and sets priorities as needed.
Formulates the schedule for the project phases, resources usage, and benchmarks.
Estimates the staffing requirements for the project.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Clearly articulates ambitious goals that are within reach.
Offers encouragement, removes obstacles, and provides constructive feedback to ensure that subordinates have the confidence and tools they need to succeed in their goals.
Clearly defines challenging but attainable goals.
Is committed to supporting and achieving assigned goals.
Defines goals to reduce operational costs and measures attainment by comparing current to previous expenses.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages team members to adopt a service-first mindset in all customer interactions.
Makes sure their interests are aligned with the customer's interests.
Responds to the needs of the customer.
Creates innovative solutions to meet customer needs.
Keeps the customer informed of all progress.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops trust in others to form partnerships and networks.
Networks with other professionals in the industry to understand best practices.
Proactively addresses potential conflicts by identifying and resolving problems swiftly.
Can perform a SWOT analyses (Strengths, Weaknesses, Opportunities, Threats) of the partnership's potential outcomes.
Actively prevents conflicts by identifying issues early and resolving them promptly.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops an effective plan to guide the project.
Reorders the schedule of events to maximize attendance/efficiency.
Determines what supplies/equipment will be needed for the department.
Makes plans and follows through.
Develops good plans used for logistics.

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: