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.

---

Edit this Survey

Would you like to edit this survey? Click here to begin.

Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You enhance your value to the company through additional training and development.
You stay up-to-date on emerging technologies.
You will participate in training classes even if offered outside of normal working hours.
You take advantage of training opportunities when they arise.
You demonstrate a willingness to participate in continuing education courses.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I am aware of my cultural views.
You recognize and value individual and cultural differences.
You avoid referring to stereotypes about others from different cultures.
You are willing to work with employees who have different cultural backgrounds.
I am effective in working with individuals with a variety of cultural backgrounds.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You complete work on time
You convey a sense of urgency about addressing problems and opportunities
You encourage risk taking and experimentation to improve performance
You display high energy and enthusiasm on consistent basis.
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 shown significant improvement in job performance.
You work effectively in the department.
You produce quality
You set a high standard for job performance.
You have great overall performance
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You select strategies according to the demands of the situation.
You actively listen to others, consider their viewpoints, and incorporate these insights into the decision-making process.
You accommodate adaptable scheduling.
I anticipate differences to the procedures that may be needed due to a changing operating environment.
I allow for flexibility in setting realistic performance goals.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are able to adjust to new plans and procedures.
You can accommodate changes as needed.
You are aware of changes to the policies and procedures.
You are flexible when dealing with changes.
You develop insights and apply innovative solutions to projects and problems.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You involve team members in conversations about the problem to improve communication and teamwork, which helps in finding and applying the best solutions.
You develop innovative solutions to problems.
You remain calm and composed under pressure to think clearly and respond appropriately to unforeseen challenges.
You are flexible and willing to adjust your approach when new information or changes in the environment arise.
I establish the sequence of tasks, taking into account dependencies.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I build strong interpersonal relationships upon first meeting.
I initiate the development of new products.
I look for opportunities to move projects forward.
I seize upon chances to improve the department's prospects.
You take corrective action to address performance deficiencies/issues.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You set a common goals for the team.
You achieve high levels of performance.
You encourage a high-energy, fun work environment and coaches others on how to do the same
You set the objectives for the team.
I ensure the team understands the objective that needs to be completed.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You develop a strong safety culture.
You develop safety guidelines for the department.
You develop a sustainable safety culture.
You keep accurate safety records.
You are aware of osha safety guidelines.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You set a good example
You are responsible for setting the vision of the department.
You act as a resource without removing individual responsibility.
You take personal responsibility for results.
You are a person others can trust.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You meet regularly with employees to coach them on areas that will enhance your performance
You conduct regular performance appraisals and feedback.
You address employee behavior problems effectively.
You provide clear, motivating, and constructive feedback.
You coach employees in how to strengthen knowledge and skills to improve work performance.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You partner with peers to obtain influence within the Company.
You facilitate cross-functional collaboration and information sharing between various stakeholders.
You develop key business relationships with clients/customers.
You form collaborative relationships with others.
You srive to cultivate and maintain a partnership based on trust and commitment in relationships.

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: