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
Works effectively with people from other departments.
Treats others with respect and dignity.
Consistently demonstrates ability and willingness to trust others.
Supports the efforts of other employees in implementing solutions to problems.
Works across boundaries within the organization.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Provides regular progress updates and keeps everyone informed about any changes or developments.
Completes a large volume of work.
Foresees potential obstacles and acts preemptively to address them.
Establishes clear and actionable goals to guide the team's efforts and ensure progress.
Takes initiative, starts tasks, makes decisions, and drives progress without waiting for instructions or approvals.
Feedback	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Cultivates a positive atmosphere by providing feedback, guidance, and support.
Assists employees in using their feedback to create clear and manageable goals that align with their professional development plans.
Assists employees in converting their feedback results into actionable items.
Provides feedback as soon after the event as possible.
Explores alternative perspectives or interpretations of feedback to broaden self-awareness.
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets long and short term goals.
Makes sure employees understand what is expected of them.
Is proactive in administering the rewards program.
Uses weekly staff meetings to assess performance of key responsibilities.
Identifies specific actions to be addressed through the remediation plan.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Addresses small problems before they become big ones.
Takes action without being asked.
Initiates new projects for the department.
Anticipates, prepares, and acts proactively to address issues in the department.
Is an inspiration for others to perform above expectations.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages commitment in others to obtain results.
Maintains persistence and dedication to achieving results.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Committed to the team.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Promotes, implements, maintains and enhances relationships with customers.
Is focused on improving customer services.
Helps others in responding to customer needs.
Encourages the team to proactively seek ways to improve the customer experience.
Takes time to explain options clearly and ensures the customer feels informed.
Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Gets things done through the department.
Understands the current organizational culture.
Able to use corporate politics to advance department objectives.
Anticipates problems that may affect the department.
Effective in communicating with others within the organization.

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: