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
Creates effective logistics plans to achieve high operational efficiency.
Purchases equipment and software that will be needed in the future.
Involves relevant coworkers in the development of the plan.
Develops good plans used for logistics.
Accurately estimates the duration of tasks.
Global Perspective	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Facilitates open communication with individuals from other countries.
Is aware of the culture, behaviors, identities and beliefs of others.
Has positive interactions with individuals from different cultures and backgrounds.
Applies knowledge of overseas markets.
Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
Communication Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Uses software, graphics, or other aids to clarify complex or technical reports.
Speaks clearly, fluently, and in a compelling manner to both individuals and groups.
Provides the reasoning behind choices and actions.
Gives clear and convincing presentations.
Persuasive and articulate when communicating.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Consciously controls own negative emotions in order to keep team morale up.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Analyzes interpersonal problems instead of reacting to them.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
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.
Is able to manage their own emotions.
Able to understand others' points of view.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Accurately perceives the emotional reactions of others.
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Establishes standards for expected performance.
Rewards employees for exceeding goals.
Regularly conducts performance reviews of all employees.
Ensures the eligibility of the proposed award recipient.
Encourages employees to take additional training in areas where they had low performance scores.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to develop, justify and present a budget.
Implements and uses performance measures.
Strong organizational skills to keep the workspace and department in order
High attention to detail.
Takes responsibility for decisions.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Solves problems using logic and insight.
Identifies and assesses all potential responses to a problem.
Ability to develop innovative solutions to problems.
Works cooperatively with others to solve problems.

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: