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.

---

Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Organizes and schedules events, activities, and resources.
Encourages me to take on greater responsibility.
Assures [Company] principles are understood, employed & pursued.
Communicates goals and objectives to employees.
Sets long-term and short-term goals.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Keeps their word and does what they say they will do.
Tackles issues head on and finds solutions.
Requires advanced warning on problems and issues that will affect completion of tasks.
Is someone you can trust.
Accepts accountability for their actions and results.
Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is not afraid to take corrective action when necessary.
Works quickly when faced with difficult problems.
Drives and mobilizes others progress toward goals.
Effectively makes decisions
Displays high energy and enthusiasm on consistent basis.
Continual Learning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes charge of their training and skills enhancement.
Participates in regular training offered.
Continues to ask questions about process and systems to further improve own knowledge.
Is open to new ideas and concepts.
Is introspective and aware of own learning needs.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops performance measures for various aspects of the project.
Responds quickly and appropriately to unforeseen problems.
Maintains costs and expenses within budget limits.
Inspires others to accomplish goals and objectives.
Regularly reviews project performance and goals.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets high expectations and goals; encourages others to support the organization.
Achieves goals.
Seeks projects in areas outside immediate responsibilities.
Keeps abreast of current developments pertaining to the job
Understands & contributes to development of strategic goals.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Consistently models positive customer service attitudes.
Considers customers point of view when making decisions.
Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
Maintains positive customer relationships.
Develops good rapport and trust with the customer.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Collaborates with others to accomplish goals and objectives.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Seeks to reduce institutional roadblocks to information sharing.
Creates value within the Company by building networks.
Seeks an understanding of diverse functions within the Company.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Anticipates obstacles and ways to overcome them.
Makes plans and follows through.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Works in an organized manner
Able to look ahead (beyond the present) when addressing the work/needs of the department.

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: