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
Delegates role to team members to accomplish goals.
Anticipates obstacles and ways to overcome them.
Works in an organized manner
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Able to identify the needs of the department before a major change.
Global Perspective	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Aligns personal vision with global strategies.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
Demonstrates working knowledge of global transactions.
Understands how cultures differ and how these differences impact work behavior.
Sets the example for team on importance of cultural awareness.
Communication Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Communicates effectively with colleagues and customers
Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
Able to deliver presentations.
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
An effective listener who is responsive to information needs.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Uses patience and self-control in working with customers and associates.
Does not allow own emotions to interfere with the performance of others.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Steps away from a situation to process appropriate response.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to control their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is attentive to emotional cues and interprets others' feelings correctly.
Able to understand others' points of view.
Is able to manage their own emotions.
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Reviews job performance shortly after completion of tasks.
Sets specific and measurable goals for others and follows through to completion.
Measures performance against goals and objectives.
Sets and maintains high standards for self and others.
Obtains commitment from employees regarding completion of tasks.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements and uses performance measures.
Able to develop, justify and present a budget.
Enthusiastic about taking on challenging projects.
Takes responsibility for decisions.
Strong organizational skills to keep the workspace and department in order
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies and assesses all potential responses to a problem.
Effective in solving problems.
Is a good problem solver and decision maker
Works cooperatively with others to solve problems.
Able to balance the needs of different people in a solution to a problem.

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: