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
Assures [Company] principles are understood, employed & pursued.
Encourages me to take on greater responsibility.
Consistently provides me with timely feedback for improving my performance.
Able to organize work.
Sets long-term and short-term goals.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes responsibility for results.
Takes ownership of mistakes and learns from them.
Is aware of problems or issues that may affect the organization.
Acts like an owner when they make decisions.
Creates a consistent process for prioritizing work.
Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is not afraid to take corrective action when necessary.
Displays high energy and enthusiasm on consistent basis.
Drives and mobilizes others progress toward goals.
Works quickly when faced with difficult problems.
Gets the job done.
Continual Learning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Pursues professional development opportunities when they arise.
Participates in regular training offered.
Seeks opportunities to grow in skills and knowledge.
Is introspective and aware of own learning needs.
Sets relevant learning objectives and goals.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops performance measures for various aspects of the project.
Able to adjust project schedule as needed to accommodate unforeseen issues.
Responds quickly and appropriately to unforeseen problems.
Inspires others to accomplish goals and objectives.
Defines project outcomes based on customer requirements.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Keeps abreast of current developments pertaining to the job
Achieves established goals.
Understands & contributes to development of strategic goals.
Achieves goals.
Makes sure that team members have a clear idea of our group's goals.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adapts to changes proposed by the customer.
Maintains positive customer relationships.
Engages with customers on multiple levels.
Documents customer interactions.
Sets an example for excellent customer relations.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates value within the Company by building networks.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Maintains infrastructure to support partnerships and networks.
Seeks to reduce institutional roadblocks to information sharing.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops effective plans to deal with unforeseen circumstances.
Creates effective logistics plans to achieve high operational efficiency.
Assesses the potential impact of changes to the strategic plan.
Determines staffing needs for the project/department.
Delegates role to team members to accomplish goals.

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: