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.

---

Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Establishes and monitors timeframes and timelines.
Prioritizes plans based on a cost/benefit analysis.
Able to identify the needs of the department before a major change.
Involves relevant coworkers in the development of the plan.
Is able to clearly articulate the plan for the department/district.
Global Perspective	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Exemplifies the skills of a global worker.
Has positive interactions with individuals from different cultures and backgrounds.
Applies knowledge of overseas markets.
Able to work with others from different cultures and countries.
Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
Communication Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Communicates with department leadership
Is an effective communicator
Delivers influential presentations.
Communicates effectively with colleagues and customers
Deals with difficult situations calmly and confidently.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
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.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Consciously controls own negative emotions in order to keep team morale up.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Accurately perceives the emotional reactions of others.
Is able to manage their own emotions.
Able to understand others' points of view.
Is able to express themselves clearly.
Is attentive to emotional cues and interprets others' feelings correctly.
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Plans and sets work expectations.
Uses timely and appropriate corrective/disciplinary actions.
Is consistent in disciplinary/corrective actions.
Continuously measures performance and provides feedback to employees regularly.
Ensures employees understand their performance expectations.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes responsibility for decisions.
Has strong technical/computer skills.
Accurately implements contract provisions.
Completes reports on-time.
Implements and uses performance measures.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Generates alternative solutions to problems and challenges.
Makes judgments based upon relevant information.
Implements effective solutions to critical problems.
Understands the root causes of problems.
Actively seeks the root cause of 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: