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
Encourages employees to produce the best quality products.
Encourages others to produce the highest quality work products.
Corrects issues in a timely manner.
Reflects on what is working and what could be improved.
Encourages others to achieve high quality standards.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Establishes and documents goals and objectives.
Sets high expectations and goals; encourages others to support the organization.
Achieves goals.
Understands & contributes to development of strategic goals.
Achieves established goals.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages me to take on greater responsibility.
Able to organize work.
Works toward achieving established goals and objectives.
Communicates goals and objectives to employees.
Sets long-term and short-term goals.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adjusts tactics and strategies.
Able to adjust to changing environments.
Able to adjust to changes as needed.
Able to step in and help co-workers when needed.
Accommodates changes as needed.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Open to the suggestions from others.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
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
Delegate tasks effectively
Is ready to offer help
Makes you feel enthusiastic about your work
Sets an example for others to follow
Keep staff informed about what is happening in the company
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Conducts regular progress meetings to ensure adherence to the schedule.
Empowers employees to make their own decisions in the field.
Communicates on a daily basis with the team at the start of each shift.
Makes sure employees are accomplishing important objectives.
Uses the team to its fullest capacity.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
High attention to detail.
Able to develop, justify and present a budget.
Accurately implements contract provisions.
Takes responsibility for decisions.
Implements and uses performance measures.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is a person you can trust.
Holds herself / himself accountable to goals / objectives
Responsible for setting the vision of the department.
Sets a good example.
...takes personal responsibility for results.

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: