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.
Supports the efforts of other employees in implementing solutions to problems.
Works across boundaries within the organization.
Treats others with respect and dignity.
Works effectively with people from other departments.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies ways to simplify work processes and reduce cycle times
Encourages risk taking and experimentation to improve performance
Completes work on time
Completes a large volume of work.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Feedback	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Actively seeks feedback from others.
Considers other's opinion and suggestions.
Looks to others for input.
Is visible and approachable.
Is easy to approach with ideas and opinions.
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements remediation plans as needed.
Monitors progress to ensure performance goals are being met.
Ensures that team goals are met 85 percent of the time.
Aligns individual and team goals with the organization's goals and objectives.
Informs team members how their performance compares to stated goals.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes corrective action to rectify issues.
Looks for opportunities to move projects forward.
Volunteers time and effort toward the completion of important goals.
Initiates the development of new products.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages commitment in others to obtain results.
Coordinates all department activities into a cohesive team effort.
Committed to the team.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Takes immediate action toward goals.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Builds long term relationships with customers.
Regularly receives positive feedback from customers.
Follows up with any unanswered questions from the customer.
Delivers on commitments made to customers.
Is pro-active in dealing with customers and addressing their needs.
Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands departmental policies and procedures.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Able to deal with sensitive issues with tact and professionalism.
Adept at navigating within the culture of the department.
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: