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
Effectively works with Quality Control (QC) engineers.
Implements quality control feedback loops to enhance services and products.
Analyzes quality improvement plans and initiatives.
Adopts and implements best practices when it comes to quality procedures.
Influences others to achieve high quality standards.
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.
Goal Setting
Conducts timely follow-up; keeps others informed on a need to know basis.
Sets high expectations and goals; encourages others to support the organization.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to organize work.
Consistently provides me with timely feedback for improving my performance.
Communicates goals and objectives to employees.
Works toward achieving established goals and objectives.
Organizes and schedules events, activities, and resources.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adjusts plans and procedures.
Is open to change and adjusts plans when needed.
Works effectively in dynamic and changing work environments.
Adapts to changes in team membership.
Able to adjust to changing environments.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Looks for ways to expand and learn new job skills.
Analyzes processes to determine areas for improvement.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Looks for ways to improve work processes and procedures.
Open to the suggestions from others.
Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes responsibility for things that go wrong
Makes you feel enthusiastic about your work
Delegate tasks effectively
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
Empowers employees to make their own decisions in the field.
Is able to motivate others through persuasion rather than coercion.
Maintains disciplinary policy and fair enforcement of work rules
Is aware of the unique strengths of each employee.
Makes sure employees are accomplishing important objectives.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes responsibility for decisions.
Completes reports on-time.
High attention to detail.
Implements and uses performance measures.
Able to develop, justify and present a budget.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes assigned work tasks.
Sets a good example.
...takes personal responsibility for results.
Sets a good example
Works in a way that makes others want to work with her/him.

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: