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
Works toward achieving established goals and objectives.
Establishes goals and objectives.
Consistently provides me with timely feedback for improving my performance.
Effectively organizes resources and plans
Communicates goals and objectives to employees.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Recognizes when a mistake is made and works to correct the issue.
Provides clear reasons for underperformance.
Is responsible for ensuring that employees are treated fairly.
Is someone who is there when you need them.
Acts like an owner when they make decisions.
Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets high standards for themselves and others.
Regularly conducts preventative maintenance on the equipment.
Motivates & supports others to gain skills
Persists in work despite obstacles encountered.
Anticipates critical incidents in the department and takes steps to mitigate their effect.
Continual Learning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets relevant learning objectives and goals.
Pursues professional development opportunities when they arise.
Seeks opportunities to grow in skills and knowledge.
Views setbacks as opportunities to learn from.
Continues to ask questions about process and systems to further improve own knowledge.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Presents clear and accurate status information to required constituents.
Conducts a risk assessment for the project.
Identifies the potential risks for each phase of the project.
Formulates the schedule for the project phases, resoures usage, and benchmarks.
Outlines the key objectives for the project.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands & contributes to development of strategic goals.
Measures and evaluates performance as related to business/customer needs.
Conducts timely follow-up; keeps others informed on a need to know basis.
Sets high expectations and goals; encourages others to support the organization.
Goal Setting
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Looks for opportunities that have a positive impact on customers.
Promotes, implements, maintains and enhances relationships with customers.
Promptly responds to customers.
Makes customer's needs a top priority.
Maintains strong relationships with customers.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Builds trust with colleagues and coworkers.
Strengthens the contacts with other departments.
Develops partnerships with senior leaders in the company.
Involves others in communications about any changing process.
Networks with other professionals in the industry to understand best practices.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops a strategic plan to reduce costs in the department.
Prioritizes tasks and allocates resources.
Anticipates resources needed to successfully implement a plan or project.
Creates plans to handle complex, multi-faceted projects.
Sets the appropriate sequence of tasks to ensure completion of the project.

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: