Performance - 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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Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...Produce Quality
Works well in this position.
Works effectively in the department.
...Overall Performance
Listens and responds to issues and problems
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies opportunities for progress and innovation.
Balances risks and costs with the rewards and probabilities of success when decisions.
Analyzes issues and reduces them to their component parts.
Uses appropriate techniques to solve problems.
Prioritizes various actions to be taken when solving a problem.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is proactive when preparing for potential problems or critical events.
Does the right thing without being told.
Immediately works on solving problems.
Analyzes the needs of the situation and acts before being told to do so.
Initiates the development of new products.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes current procedures and identifies opportunities for improvement.
Creates improved methods or solutions for meeting goals and objectives.
Implements best practices within the department.
Finds creative ways to get things done with limited resources.
Develops new products and services.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Handles changes easily.
Is aware of changes to the policies and procedures.
Is flexible when dealing with changes.
Learns from personal experiences and/or mistakes.
Adapts quickly to new situations.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages commitment in others to obtain results.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Maintains persistence and dedication to achieving results.
Able to focus on a task even when working alone.
Coordinates all department activities into a cohesive team effort.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Commits adequate resources toward safety measures.
Points out behaviors in others that may be unsafe.
Develops a sustainable safety culture.
Creates accurate and effective measures of safety.
Participates in safety training when offered.
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.
Creates the conditions for partnerships to grow and develop.
Partners with peers to obtain influence within the Company.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Able to control their emotional responses and correctly gauge the emotions of others.
Maintains communication channels between parties in the negotiation.
Maintains good interpersonal relationships with representatives from the other party.
Able to influence others to accept certain positions.
Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Treats others with respect and dignity.
Helpful
...treats others with respect and dignity.
Includes others in the decision making processes.
Works effectively with people from other departments.
Global Perspective	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Can effectively deliver presentations to international clients.
Facilitates open communication with individuals from other countries.
Engages in problem solving with individuals outside of the country.
Able to listen and understand others and discuss issues in a respectful way.
Has positive interactions with individuals from different cultures and backgrounds.

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

    -Excellent -Good -Average -Poor




57. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    


58. 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?
    
    
    


59. What changes do you see [Company] making in order to raise the standards?
    
    


60. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    


61. What do you like best about working for [Company]?
    
    


62. 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: