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
Is able to clearly articulate the plan for the department/district.
Develops a strategic plan to reduce costs in the department.
Develops good plans used for logistics.
Has developed an effective strategic plan.
Effectively uses logistics planning to reduce supply delays.
Global Perspective	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands how cultures differ and how these differences impact work behavior.
Considers customers point of view when making decisions.
Volunteers for experiences and assignments abroad.
Cooperates with others on a global scale.
Demonstrates working knowledge of global transactions.
Communication Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Listens attentively and responds thoughtfully, showing they value the conversation.
Marks their status as "available" to signal they are open for communication.
Considers the audience in how the communication is presented.
Listens effectively and responds to new information.
Uses software, graphics, or other aids to clarify complex or technical reports.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Steps away from a situation to process appropriate response.
Analyzes interpersonal problems instead of reacting to them.
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.
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
Accurately perceives the emotional reactions of others.
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to manage their own emotions.
Able to understand others' points of view.
Is able to express themselves clearly.
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Clearly articulates the performance requirements for the position.
Recognizes employees with a long and distinguished career of service.
Sets long and short term goals.
Measures job performance of subordinates against defined goals and objectives.
Ensures the employee understands the key tasks, goals and KPIs required for the position.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Accurately implements contract provisions.
Enthusiastic about taking on challenging projects.
Implements and uses performance measures.
Strong organizational skills to keep the workspace and department in order
Takes responsibility for decisions.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adept at conducting an exhaustive Critical Incident interview.
Asks the "right" questions to size up or evaluate situations.
Identifies and assembles the necessary resources (e.g., budget, tools, equipment, personnel) required to implement the action plan.
Involves the department in the problem-solving process to foster a sense of collective responsibility and investment in the outcome.
Able to meet the needs of different constituents in the solution 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: