Planning- 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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Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Anticipates the impacts of strategic plans.
Is good at planning for the "unexpected".
Develops effective plans to deal with unforeseen circumstances.
Understands the process for developing strategic plans for the organization.
Establishes a course of action for self and others to accomplish specific goals.
Global Perspective	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates an environment where individual differences are valued and supported.
Is able to work with individuals having different backgrounds and cultures.
Works well with others from different cultural backgrounds.
Analyzes global issues/problems that are having a large impact on the Company.
Engages in problem solving with individuals outside of the country.
Communication Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
Communicates clearly and get to the point without unnecessary details.
Informs supervisor about progress made on goals and objectives.
Reports progress on goals to the supervisor.
Communicates goals of project, resources required, resources available, etc. to the team
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Does not allow own emotions to interfere with the performance of others.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Steps away from a situation to process appropriate response.
Analyzes interpersonal problems instead of reacting to them.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to express themselves clearly.
Accurately perceives the emotional reactions of others.
Is able to manage their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to control their own emotions.
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is consistent in clearly communicating job requirements.
Participates in training as needed to improve job performance.
Sets specific and measurable goals for others and follows through to completion.
Communicates OKRs to employees regularly during monthly meetings.
Records production quotas on a daily basis.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes time to grasp the points being made, and ensures individuals feel heard.
Books travel arrangements by purchasing tickets for transportation and securing accommodations.
Formats and produces a variety of business related documents/reports.
Records business transactions in a journal.
Prepares documents for data entry.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Plans the order of actions, considering any interdependent steps.
Effective in solving problems.
Clearly communicates the action plan to all employees, including team members, management, and other affected parties.
Makes judgments based upon relevant information.
Solves problems that require several different criteria or constraints.

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

    -Excellent -Good -Average -Poor




42. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
43. 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?
    
    
    
44. What changes do you see [Company] making in order to raise the standards?
    
    
    
45. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
46. What do you like best about working for [Company]?
    
    
    
47. 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: