Passion to Learn - 360 Degree Feedback Survey Sample #4

Dear Employee:

Welcome to our 360-Degree Feedback self-assessment questionnaire. Our objective is to provide feedback which will help advance your leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify areas where you are doing well and where you have opportunities to do better. Others will also complete the questionnaire to provide you with feedback.

We have developed this survey with questions tailored for your position in the department to provide you with an opportunity to rate many facets of your leadership performance.

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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Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You demonstrate through personal behavior the commitment to high standards of performance.
You stay up-to-date on emerging technologies.
You are open to feedback from others.
You enjoy learning new skills and techniques.
You take initiative for own learning and development.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are aware of the similarities and differences among and between cultural groups.
You accept individual differences.
I seek opportunities to learn about the other cultural backgrounds of colleagues.
You engage with individuals that have different cultural backgrounds.
I recognize individual and cultural differences.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You encourage risk taking and experimentation to improve performance
You complete work on time
You complete a large volume of work.
You identify ways to simplify work processes and reduce cycle times
You project a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You set a high standard for job performance.
You work well in this position.
You work effectively in the department.
You are able to organize work.
You are effective in performing your job.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I maintain an adaptive mindset crucial for navigating the dynamic challenges and opportunities that arise in business environments.
I anticipate differences to the procedures that may be needed due to a changing operating environment.
You actively listen to others, consider their viewpoints, and incorporate these insights into the decision-making process.
I am able to change or adjust processes to accommodate changes in equipment or supplies.
You encourage adaptability to utilize more efficient processes.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You can accommodate changes as needed.
You can adjust tactics and strategies.
You adjust priorities to changing business goals.
You are proactive and takes steps to prepare for changes in the workplace.
You will stop what you are doing to help colleagues in need.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You implement effective solutions to critical problems.
You solve problems using logic and insight.
You make judgments based upon relevant information.
You find creative ways to get things done with limited resources.
You generate alternative solutions to problems and challenges.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I am proactive and get things done.
I inform the manager of any important changes in the equipment operation.
I act with urgency when time is of the essence.
You take the initiative to change the direction or course of events.
You take decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I complete all assigned tasks.
You are highly motivated to complete tasks despite obstacles that may arise.
You make sure employees have the resources they need to achieve their results.
You direct team in prioritizing daily work activities
I plan the best course of action to achieve the goal.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You participate in safety training as applicable.
You develop safety guidelines for the department.
You create accurate and effective measures of safety.
You encourage others to attend safety training.
You identify and addresses safety needs.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You act as a resource without removing individual responsibility.
You set high personal standards of performance.
You hold yourself accountable to goals / objectives
You complete assigned work tasks.
You take personal responsibility for results.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You provide clear, motivating, and constructive feedback.
You address employee behavior problems effectively.
You coach employees in how to strengthen knowledge and skills to improve work performance.
You conduct regular performance appraisals and feedback.
You help employees to maintain high personal standards.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You develop networks with other companies to reduce costs and improve services.
You engage in partnerships to share risks and resources.
You esure all participants in the network are treated fairly and equitably.
I can perform a SWOT analyses (Strengths, Weaknesses, Opportunities, Threats) of the partnership's potential outcomes.
I am able to highlight both the strategic benefits and potential pitfalls in collaboration.

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

    -Excellent -Good -Average -Poor




67. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
68. 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?
    
    
    
69. What changes do you see [Company] making in order to raise the standards?
    
    
    
70. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
71. What do you like best about working for [Company]?
    
    
    
72. 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: