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
Shares best practices with others and learns from others.
Takes the initiative to learn new skills.
Seeks opportunities to grow in skills and knowledge.
Sets relevant learning objectives and goals.
Views setbacks as opportunities to learn from.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Defines roles, rights, and responsibilities of the team.
Tackles issues head on and finds solutions.
Takes responsibility for results.
Defines roles, rights, and responsibilities of employees.
Implements and facilitates controls and processes that maintain the integrity of the organization.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Fosters an environment built upon trust.
Demonstrates sincerity in actions with others.
Fosters a high standard of ethics and integrity.
Demonstrates honesty and truthfulness at all times.
Accepts responsibility for mistakes.
Professional Development	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Quickly acquire and apply new knowledge and skills when needed
Seeks opportunities for continuous learning.
Seeks opportunities for professional development.
Keep themselves up-to-date of technical/professional issues
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is responsive to individuals from other cultures.
Is willing to include individuals with different cultural backgrounds on the team.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Is aware of cultural differences in business etiquette.
May advocate for others with different cultural backgrounds.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets a high standard for job performance.
Shown significant improvement in job performance.
Works effectively in the department.
Effectively organizes resources and plans
Effective in performing his/her job.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Solves problems using logic and insight.
Understands the root causes of problems.
Makes judgments based upon relevant information.
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Ability to solve problems at root cause rather than at symptom level.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Responds to feedback from customers.
Is aware of expectations from customers.
Able to handle difficult customers.
Is committed to resolving customer issues in a positive way.
Anticipates resources needed to meet the customer needs.
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.
Tries to ensure employees are ready to move to the next level.
Assigns tasks and responsibilities to develop skills of others.
Creates opportunities for professional development.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports a partnering/networking culture.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Supports and encourages relationships that are created by diverse team members.
Creates value within the Company by building networks.
Promotes the understanding of how the department affects the organization overall.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Follows existing procedures and processes.
Understands how decisions impact other business units beyond their immediate department of work group.
Understands the use of [Company] products and services.
Attends [Company] gatherings and social events.
Understands the "basics" as to how [Company] functions/operates.

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: