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
Shown significant improvement in job performance.
Able to organize work.
Listens and responds to issues and problems
Sets a high standard for job performance.
Effectively organizes resources and plans
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Selects the appropriate techniques for analysis.
Balances risks and costs with the rewards and probabilities of success when decisions.
Asks the "right" questions to size up or evaluate situations.
Identifies the root cause of a problem.
Implements data validation techniques and methods.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to initiate work on projects independently without direct supervision.
Quickly comes to the aid of those who may need help.
Initiates important conversation topics at meetings.
Volunteers time and effort toward the completion of important goals.
Actively works on resolving the issue instead of procrastinating or hoping it will resolve itself.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Challenges current procedures to develop other alternatives.
Encourages open communication to ensure that all proposals are considered.
Develops new products and services.
Suggests new ideas at meetings.
Analyzes current procedures and identifies opportunities for improvement.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is aware of changes to team personnel.
Is aware of changes to the policies and procedures.
Adjusts strategy when new information is presented.
Able to respond to incidents without stopping the workflow.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to focus on a task even when working alone.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Coordinates all department activities into a cohesive team effort.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is not afraid to question a potential safety issue observed in the workplace.
Develops safety guidelines for the department.
Supports safety programs and procedures.
Keeps accurate safety records.
Supports our company's safety programs.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates value within the Company by building networks.
Supports and encourages relationships that are created by diverse team members.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Builds alliances between departments and teams.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Researches the needs of the other party to identify strengths and weaknesses of positions.
Maintains communication channels between parties in the negotiation.
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Stays calm and focuses on the core issues to be discussed.
Establishes good working relationships with others.
Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helpful
Includes others in the decision making processes.
Works effectively with people from other departments.
Is able to see issues from others' perspectives.
Able to see issues from others' perspectives.
Global Perspective	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to work with others from different cultures and countries.
Facilitates open communication with individuals from other countries.
Sets the example for team on importance of cultural awareness.
Creates an environment where individual differences are valued and supported.
Forms strong client relationships with international partners.

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: