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
Views setbacks as opportunities to learn from.
Is open to new ideas and concepts.
Takes charge of their training and skills enhancement.
Participates in regular training offered.
Seeks opportunities to grow in skills and knowledge.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Always starts work on time.
Defines roles, rights, and responsibilities of employees.
Accepts personal responsibility for producing high quality and timely work.
Works diligently for the success of the team.
Chooses integrity over convenience.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Establishes relationships of trust, honesty, fairness, and integrity.
Maintains strong relationships with others.
Accepts responsibility for mistakes.
Demonstrates sincerity in actions with others.
Demonstrates honesty and truthfulness at all times.
Professional Development	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages employees to take courses relevant to their job.
Seeks opportunities for professional development.
Allows employees to fully participate in employee training and professional development.
Seeks opportunities for continuous learning.
Quickly acquire and apply new knowledge and skills when needed
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks clarification to avoid misunderstandings.
Is open and honest in communications with individuals from other cultures.
Actively listens to other employees' stories about their culture.
Understands how their own cultural background can impact the way they communicate and interact with others.
Communicates with others without the influence of racism.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to organize work.
Listens and responds to issues and problems
...Produce Quality
Works effectively in the department.
Sets a high standard for job performance.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is a good problem solver and decision maker
Identifies and assesses all potential responses to a problem.
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Effective in solving problems.
Implements effective solutions to critical problems.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes the initiative in solving difficult customer issues.
Provides excellent service to customers.
Regularly receives positive feedback from customers.
Responds to feedback from customers.
Sets an example for excellent customer relations.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports the successes of other employees.
Sets performance objectives for subordinates that encourages development opportunities.
Encourages employees through recognition of positive changes in behavior.
Recognizes and celebrates accomplishments of others.
Is open to receiving feedback.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports a partnering/networking culture.
Promotes the understanding of how the department affects the organization overall.
Maintains infrastructure to support partnerships and networks.
Partners with peers to obtain influence within the Company.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Expresses loyalty and dedication to [Company] in interactions with others.
Follows existing procedures and processes.
Understands the "basics" as to how [Company] functions/operates.
Understands how decisions impact other business units beyond their immediate department of work group.
Attends [Company] gatherings and social events.

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: