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
Establishes goals and objectives.
Able to organize work.
Effectively organizes resources and plans
Consistently provides me with timely feedback for improving my performance.
Assures [Company] principles are understood, employed & pursued.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Consistently strives to meet high standards of excellence.
Works diligently for the success of the team.
Encourages colleagues/business partners to take on greater responsibilities.
Accepts responsibility to lead efforts to solving critical problems.
Is someone you can trust.
Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Acts quickly to create innovative products and services.
Takes steps to prepare for the start of the project.
Anticipates needs and takes pre-emptive action to address the issue.
Creates performance measures to ensure action by the department.
Works quickly when faced with difficult problems.
Continual Learning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Expands their educational and future learning opportunities.
Is curious about learning new things.
Takes charge of their training and skills enhancement.
Improves on their skill sets.
Sets relevant learning objectives and goals.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Estimates the duration for each phase of the project.
Anticipates potential problems and institutes controls and contingency plans to address them.
Presents clear and accurate status information to required constituents.
Organizes work and sets priorities as needed.
Inspires the project implementation team to achieve success.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Measures and evaluates performance as related to business/customer needs.
Achieves established goals.
Sets high expectations and goals; encourages others to support the organization.
Makes sure that I have a clear idea of our group's goals.
Establishes and documents goals and objectives.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Does not hesitate to address customer concerns or complaints.
Is consistent in services provided to customers.
Has received good feedback from customers.
Gives feedback to the customer regularly.
Thoroughly understands the needs of the customer.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Actively prevents conflicts by identifying issues early and resolving them promptly.
Is aware of the location/availability of resources within the network.
Networks with other professionals in the industry to understand best practices.
Forms strong relationships with customers.
Utilizes contacts to build and strengthen internal support bases.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages others to follow the plan.
Closely follows the plan established for the department.
Develops plans used to accomplish urgent or critical tasks.
Accurately estimates the amount of materials/supplies needed for the project.
Understands what materials will be required to successfully implement the plan.

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: