Organizational Fluency- 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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Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to use corporate politics to advance department objectives.
Able to explain departmental policies and procedures to others.
Able to deal with sensitive issues with tact and professionalism.
Gets things done through the department.
Anticipates problems that may affect the department.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Modifies strategic decisions depending on changes in the business environment.
Uses strategic thinking to make better strategic decisions.
Makes sure that all departments/teams are contributing toward the success of the strategy.
Creates values statement to ensure all employees are working under the same guiding principles.
Identifies ways in which the company is better able to meet the customers' needs than rivals.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops trust and confidence from others.
Fosters a high standard of ethics and integrity.
Does what was promised.
Demonstrates sincerity in actions with others.
Demonstrates honesty and truthfulness at all times.
Feedback	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is visible and approachable.
Seeks feedback to enhance performance.
Asks others for their ideas and opinions.
Looks to others for input.
Is easy to approach with ideas and opinions.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Goal Setting
Achieves goals.
Sets high expectations and goals; encourages others to support the organization.
Understands & contributes to development of strategic goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Interpersonal Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is well respected in the department.
Strives to lead by example to demonstrate the value of interpersonal relationships.
Strives for win/win solutions
Assists those in the department who need help in meeting performance metrics.
Is transparent and honest in communications, intentions, and actions.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Maintains infrastructure to support partnerships and networks.
Creates value within the Company by building networks.
Collaborates with others to accomplish goals and objectives.

36. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




37. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    


38. 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?
    
    
    


39. What changes do you see [Company] making in order to raise the standards?
    
    


40. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    


41. What do you like best about working for [Company]?
    
    


42. 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: