Quality - 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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Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Always strives to produce the highest quality work products.
Encourages others to achieve high quality standards.
Reflects on what is working and what could be improved.
Encourages others to produce the highest quality work products.
Holds employees accountable for their quality of work.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands & contributes to development of strategic goals.
Establishes and documents goals and objectives.
Sets high expectations and goals; encourages others to support the organization.
Conducts timely follow-up; keeps others informed on a need to know basis.
Achieves established goals.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Communicates goals and objectives to employees.
Establishes goals and objectives.
Consistently provides me with timely feedback for improving my performance.
Able to organize work.
Ability to establish realistic goals.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Able to quickly learn new ways of performing their job.
Learns from personal experiences and/or mistakes.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Is flexible and open minded in dealing with others.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Open to the suggestions from others.
Looks for ways to expand current job responsibilities.
Promotes training and development opportunities to enhance job performance.
Analyzes processes to determine areas for improvement.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Keep staff informed about what is happening in the company
Is ready to offer help
Delegate tasks effectively
Takes responsibility for things that go wrong
Sets an example for others to follow
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Promotes teamwork and cooperation within the department.
Delegates effectively.
Resolves personnel problems quickly and effectively.
Encourages employees to achieve their full potential.
Maintains good working relationships with employees.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Accurately implements contract provisions.
Able to develop, justify and present a budget.
Has strong technical/computer skills.
Completes reports on-time.
High attention to detail.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Holds herself / himself accountable to goals / objectives
Is a person you can trust.
Sets a good example
Completes assigned work tasks.
Sets a good example.

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

    -Excellent -Good -Average -Poor




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


48. 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?
    
    
    


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


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


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


52. 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: