Passion to Learn - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to the Employee Survey. Our objective is to understand and express the values which will ensure is an exceptional place to work. 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 our staff and business to provide you with an opportunity to anonymously rate many facets of the business. The survey will assess what you value most in your employment 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 and . 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.

---

Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Actively seeks to learn by asking questions and listening to all store associates.
Critiques own performance and learns from experience as a source of continuous improvement.
Takes initiative for own learning and development.
Constantly enhances product knowledge through experimentation and play.
Holds self and associates accountable for goal achievement.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages a work environment where individual differences are valued.
Recognizes and values individual and cultural differences.
Seeks out different viewpoints and benefits from different perspectives.
Fosters a diverse workforce free from discrimination and harassment.
Values the opinions of diverse groups and individual.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks and utilizes opportunities for continuous learning and self-development.
Motivates others to achieve or exceed goals
Completes work on time
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Completes a large volume of work.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Has great overall performance
Works well in this position.
Works effectively in the department.
...Produce Quality
Effective in performing his/her job.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies new opportunities to achieve goals
Effective in incorporating new ideas.
Willing to try new ideas.
Adapts to circumstances as needed.
Open to the perspectives/viewpoints of others.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Flexible and open to new ideas and encourages others to value change.
Is proactive and takes steps to prepare for changes in the workplace.
Able to quickly learn new ways of performing their job.
Develops insights and applies innovative solutions to projects and problems.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effective in solving problems.
Ability to solve problems at root cause rather than at symptom level.
Is a good problem solver and decision maker
Identifies and assesses all potential responses to a problem.
Solves problems using logic and insight.
Initiative	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.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Goes above and beyond the stated goals.
Takes action without being asked.
Immediately works to complete goals well before their deadline.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Does not become distracted by non-issues or interruptions.
Provides clear expectations for employees.
Stays focused on meeting the needs of customers.
Encourages a high-energy, fun work environment and coaches others on how to do the same
Inspires and motivates co-workers to be productive and energetic at work
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is aware of OSHA safety guidelines.
Committed to safety in the workplace.
Commits adequate resources toward safety measures.
Performs work safely.
Works to implement corrective safety measures.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Holds herself / himself accountable to goals / objectives
Sets a good example
Works in a way that makes others want to work with her/him.
...takes personal responsibility for results.
Sets high personal standards of performance.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps employees to understand responsibilities, authority, and expectations.
Addresses employee behavior problems effectively.
Helps employees to maintain high personal standards.
Conducts regular performance appraisals and feedback.
Meets regularly with employees to coach them on areas that will enhance their performance
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Collaborates with others to accomplish goals and objectives.
Supports and encourages relationships that are created by diverse team members.
Seeks an understanding of diverse functions within the Company.
Builds alliances between departments and teams.
Seeks to reduce institutional roadblocks to information sharing.

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: