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
Communicates quality standards that are easily by employees.
Analyzes quality improvement plans and initiatives.
Designs effective quality control systems.
Communicates with team members regarding best quality practices.
Committed to the improvement of the quality of services and products.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets high expectations and goals; encourages others to support the organization.
Establishes and documents goals and objectives.
Achieves goals.
Makes sure that I have a clear idea of our group's goals.
Achieves established goals.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to organize work.
Sets long-term and short-term goals.
Ability to establish realistic goals.
Organizes and schedules events, activities, and resources.
Establishes goals and objectives.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Handles unexpected events without a loss of productivity.
Able to quickly learn new ways of performing their job.
Effective in working with different personnel of the team.
Recognizes and implements changes to enhance efficiency and effectiveness.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Open to the suggestions from others.
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand current job responsibilities.
Analyzes processes to determine areas for improvement.
Looks for ways to improve work processes and procedures.
Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes responsibility for things that go wrong
Delegate tasks effectively
Sets an example for others to follow
Keep staff informed about what is happening in the company
Is ready to offer help
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands the importance of good performance management.
Seeks to enhance the performance of employees under their supervision.
Demonstrates empathy, respect, and openness to employees.
Communicates effectively to avoid issues, conflicts and errors on the job.
Instructs employees on the proper way to perform tasks.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes reports on-time.
Able to develop, justify and present a budget.
Has strong technical/computer skills.
Takes responsibility for decisions.
Accurately implements contract provisions.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Acts as a resource without removing individual responsibility.
Holds herself / himself accountable to goals / objectives
Sets a good example.
Works in a way that makes others want to work with her/him.
Completes assigned work tasks.

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: