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 are committed to enhancing your own knowledge and skills.
You recognize own areas for development and consciously seek assignments that will provide practice in areas of developmental need.
You are open minded and curious about learning new skills.
You create an environment that supports personal development and exploration.
You embrace new technology and procedures.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I am aware of cultural differences in business etiquette.
I acknowledge and celebrate cultural holidays, milestones, and traditions within the team.
I am aware of my cultural views.
You encourage recognition of diverse perspectives in performance review and goal-setting.
I adapt communication style to respect cultural norms and preferences of team members.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You establish clear procedures and best practices to minimize the likelihood of problems occurring.
You are motivated to accomplish goals.
You adapt to change circumstances and find new ways to achieve goals.
I initiate tasks or projects that address identified needs.
I overcome obstacles in pursuit of goals.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are able to organize work.
You shown significant improvement in job performance.
You effectively organize resources and plans
You have great overall performance
You work well in this position.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are dedicated to evolving and enhancing business processes, which demonstrates flexibility.
I continuously learn and adapt new techniques to address evolving challenges.
I am flexible in effectively handling changes in production volumes.
You adapt to different learning styles of employees as required to make sure employees receive the highest level of training.
You respond to diverse challenges.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You develop new and innovative ideas and approaches for solving problems.
You integrate information from a variety of sources to develop new and creative solutions.
You are responsive to the needs of others.
You adapt to new work processes and procedures.
You are willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You evaluate potential solutions based on cost, feasability, and probability of success.
You solve problems that require several different criteria or constraints.
I diagnose the root causes of problems.
You collect relevant information and data.
I ensure that team members have the necessary training and are informed about best practices and procedures.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You act quickly to address any issues or problems.
You guide strategic initiatives to advance the department/organization.
I seize upon chances to improve the department's prospects.
You immediately inform the HR Department of any personnel complaints or issues.
I transform opportunity into actions.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You establish clear performance standards and reinforce them through regular feedback.
You do not become distracted by non-issues or interruptions.
I proactively identify when others need assistance and offer help without being asked.
You achieve high levels of performance.
You prioritize tasks based on impact and urgency to optimize resource allocation.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You support safety programs and procedures.
You develop safety guidelines for the department.
You develop a strong safety culture.
You create accurate and effective measures of safety.
You perform work safely.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are responsible for setting the vision of the department.
You set high personal standards of performance.
You hold yourself accountable to goals / objectives
You set a good example
You are a person others can trust.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I use coaching to help maximize employee output.
You consider the ideas and suggestions from coaches.
I continually look for coaching opportunities.
You show employees where they need to develop
I foster exploration using open-ended questions to shift the focus from merely addressing immediate issues to uncover underlying challenges, opportunities, and motivations.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You form strategic partnerships and business alliances to expand opportunities.
You use new techniques and procedures learned through established networks of professionals.
You develop important industry contacts to facilitate business goals.
You develop key business relationships with clients/customers.
You maintain infrastructure to support partnerships and networks.

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: