Punctuality - 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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Punctuality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Conducts appointments at scheduled start time.
Starts meetings on time.
Maintains an efficient schedule of activities.
Starts the workday when scheduled.
Avoids making personal phone calls during working hours.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to adapt to changes in technology and processes.
Is flexible and open minded in dealing with others.
Recognizes and implements changes to enhance efficiency and effectiveness.
Is open to changes in policies and procedures.
Adjusts plans as needed based on changing conditions.
Professional Development	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Quickly acquire and apply new knowledge and skills when needed
Contributing fully to the extent of their skills
Seeks opportunities for professional development.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Allows employees to fully participate in employee training and professional development.
Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is ready to offer help
Keep staff informed about what is happening in the company
Makes you feel enthusiastic about your work
Delegate tasks effectively
Sets an example for others to follow
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes issues and reduces them to their component parts.
Identifies problems and issues needing resolution.
Asks the "right" questions to size up or evaluate situations.
Selects the appropriate techniques for analysis.
Analyzes data and information from several sources and arrives at logical conclusions.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Accurately implements contract provisions.
Implements and uses performance measures.
Has strong technical/computer skills.
Enthusiastic about taking on challenging projects.
Completes reports on-time.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates improved methods or solutions for meeting goals and objectives.
Challenges current procedures to develop other alternatives.
Finds creative ways to get things done with limited resources.
Creates a safe environment for idea-sharing.
Implements best practices within the department.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Consistently provides me with timely feedback for improving my performance.
Communicates goals and objectives to employees.
Establishes goals and objectives.
Assures [Company] principles are understood, employed & pursued.
Sets long-term and short-term goals.
Empowering Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is aware of the skill levels of others.
Recognizes the accomplishments of employees when they complete important assignments.
Distributes the workload to subordinates.
Allows individuals to be responsible for their decisions.
Willing to share in the decision making process.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports the successes of other employees.
Creates a work environment that fosters positive feedback to employees.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Assigns tasks and responsibilities to develop skills of others.
Provides constructive feedback to others.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Clearly expresses expectations to others.
Helps employees to think through alternative ways to resolve conflict situations.
Assists team members by helping them see the other point of view.
Identifies and takes steps to prevent potential confrontations.
Discusses conflict situations with supervisor.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Changes communication styles to meet the listener's needs.
Understands the expectations of other parties in the negotiation.
Able to clearly express thoughts and concerns.
Establishes good working relationships with others.
Able to adapt to changing situations.

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

    -Excellent -Good -Average -Poor




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


63. 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?
    
    
    


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


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


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


67. 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: