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
Constructively receives criticism and suggestions from others.
...treats others with respect and dignity.
Supports the efforts of other employees in implementing solutions to problems.
Helpful
Works across boundaries within the organization.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Seeks and utilizes opportunities for continuous learning and self-development.
Completes a large volume of work.
Conveys a sense of urgency about addressing problems and opportunities
Identifies ways to simplify work processes and reduce cycle times
Feedback	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Looks to others for input.
Considers other's opinion and suggestions.
Actively seeks feedback from others.
Is easy to approach with ideas and opinions.
Accepts the views of others.
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is consistent in disciplinary/corrective actions.
Recognizes and values good performance.
Uses timely and appropriate corrective/disciplinary actions.
Reviews job performance shortly after completion of tasks.
Addresses grievances sooner rather than later.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes the initiative to change the direction or course of events.
Prepares for unexpected contingencies.
Seeks and utilizes opportunities for continuous learning and self-development.
Immediately works to complete goals well before their deadline.
Goes above and beyond the stated goals.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Willing to do whatever it takes-not afraid to have to put in extra effort.
Takes immediate action toward goals.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
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.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops good rapport and trust with the customer.
Does not hesitate to address customer concerns or complaints.
Maintains positive customer relationships.
Consistently models positive customer service attitudes.
Develops strong customer relationships.
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.
Adept at navigating within the culture of the department.
Understands the current organizational culture.
Able to deal with sensitive issues with tact and professionalism.
Anticipates problems that may affect the department.

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: