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.
Able to see issues from others' perspectives.
Respects the opinions of other employees.
Works across boundaries within the organization.
Is able to see issues from others' perspectives.
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.
Completes work on time
Displays high energy and enthusiasm on consistent basis.
Encourages risk taking and experimentation to improve performance
Identifies ways to simplify work processes and reduce cycle times
Feedback	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Asks others for their ideas and opinions.
Considers other's opinion and suggestions.
Actively seeks feedback from others.
Shares past experiences with others as learning opportunities.
Is visible and approachable.
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Uses timely and appropriate corrective/disciplinary actions.
Encourages employees to take additional training in areas where they had low performance scores.
Rewards employees for exceeding goals.
Recognizes employees with a long and distinguished career of service.
Effectively uses the current performance review process.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Volunteers time and effort toward the completion of important goals.
Acts independently to solve pressing needs.
Engages with new customers immediately.
Capitalizes on opportunities as they become available.
Guides strategic initiatives to advance the department/organization.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes immediate action toward goals.
Able to focus on a task even when working alone.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Committed to the team.
Encourages commitment in others to obtain results.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates documents that meet the customer's specifications.
Is competent in handling difficult customers.
Maintains up-to-date information regarding customer products.
Actively listens to concerns from customers.
Provides excellent service to customers.
Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effective in communicating with others within the organization.
Able to use corporate politics to advance department objectives.
Able to explain departmental policies and procedures to others.
Understands departmental policies and procedures.
Able to deal with sensitive issues with tact and professionalism.

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: