Professional Development - 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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Continual Learning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Participates in regular training offered.
Is open to new ideas and concepts.
Builds on their strengths while addressing their weaknesses.
Pursues self-improvement through continual learning.
Pursues learning that will enhance job performance.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Defines roles, rights, and responsibilities of the team.
Develops goals and establishes objective measures of success.
Implements and facilitates controls and processes that maintain the integrity of the organization.
Accepts accountability for their actions and results.
Keeps supervisor informed of recent events.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Accepts responsibility for mistakes.
Maintains strong relationships with others.
Fosters an environment built upon trust.
Demonstrates honesty and truthfulness at all times.
Demonstrates sincerity in actions with others.
Professional Development	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages employees to take courses relevant to their job.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Seeks opportunities for professional development.
Allows employees to fully participate in employee training and professional development.
Seeks opportunities for continuous learning.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Respects others regardless of age, race, gender, nationality, or disability.
Values the opinions of diverse groups and individual.
Fosters a diverse workforce free from discrimination and harassment.
Shows respect in daily interactions
Encourages a work environment where individual differences are valued.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Shown significant improvement in job performance.
Has great overall performance
Listens and responds to issues and problems
Sets a high standard for job performance.
Effectively organizes resources and plans
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effective in solving problems.
Ability to solve problems at root cause rather than at symptom level.
Is a good problem solver and decision maker
Ability to develop innovative solutions to problems.
Able to balance the needs of different people in a solution to a problem.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
Ensures all customer commitments and requirements are met or exceeded.
...friendliness and courtesy
Does not hesitate to address customer concerns or complaints.
Considers customers point of view when making decisions.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates opportunities for professional development.
Assesses employees' developmental needs.
Provides constructive feedback to others.
Supports the successes of other employees.
Creates a work environment that fosters positive feedback to employees.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports a partnering/networking culture.
Collaborates with others to accomplish goals and objectives.
Maintains infrastructure to support partnerships and networks.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Partners with peers to obtain influence within the Company.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands the "basics" as to how [Company] functions/operates.
Understands how decisions impact other business units beyond their immediate department of work group.
Understands the use of [Company] products and services.
Follows existing procedures and processes.
Impresses upon others the important aspects of [Company].

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

    -Excellent -Good -Average -Poor




57. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    


58. 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?
    
    
    


59. What changes do you see [Company] making in order to raise the standards?
    
    


60. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    


61. What do you like best about working for [Company]?
    
    


62. 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: