Others- 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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Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Forms working relationships with employees from other departments.
Works across boundaries within the organization.
Treats others with respect and dignity.
Supports the efforts of other employees in implementing solutions to problems.
...treats others with respect and dignity.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes work on time
Motivates others to achieve or exceed goals
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Identifies ways to simplify work processes and reduce cycle times
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Feedback	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is visible and approachable.
Is easy to approach with ideas and opinions.
Considers other's opinion and suggestions.
Open to the suggestions of others.
Looks to others for input.
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates clear standards that are understandable and fair.
Assigns additional responsibilities to facilitate internal employee promotions.
Effectively uses the current performance review process.
Recognizes and values good performance.
Ensures Job Descriptions are up to date and accurate.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Initiates draft documents for the director.
Takes corrective action to address performance deficiencies/issues.
Takes action to establish clear and concise deadlines for tasks to be completed.
Updates the documentation as soon as the situation changes.
Quickly comes to the aid of those who may need help.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Able to focus on a task even when working alone.
Committed to the team.
Encourages commitment in others to obtain results.
Coordinates all department activities into a cohesive team effort.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates documents that meet the customer's specifications.
Considers customers point of view when making decisions.
Sets an example for excellent customer relations.
Promotes, implements, maintains and enhances relationships with customers.
Is aware of expectations from customers.
Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Anticipates problems that may affect the department.
Effective in communicating with others within the organization.
Able to deal with sensitive issues with tact and professionalism.
Understands the current organizational culture.

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

    -Excellent -Good -Average -Poor




42. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
43. 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?
    
    
    
44. What changes do you see [Company] making in order to raise the standards?
    
    
    
45. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
46. What do you like best about working for [Company]?
    
    
    
47. 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: