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
Reflects on what is working and what could be improved.
Always strives to produce the highest quality work products.
Corrects issues in a timely manner.
Encourages others to achieve high quality standards.
Encourages others to produce the highest quality work products.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands & contributes to development of strategic goals.
Sets high expectations and goals; encourages others to support the organization.
Establishes and documents goals and objectives.
Achieves established goals.
Makes sure that team members have a clear idea of our group's goals.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to organize work.
Establishes goals and objectives.
Consistently provides me with timely feedback for improving my performance.
Sets long-term and short-term goals.
Works toward achieving established goals and objectives.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works effectively with various personalities of team members.
Recognizes and implements changes to enhance efficiency and effectiveness.
Is flexible when dealing with changes.
Able to respond to incidents without stopping the workflow.
Is open to changes in policies and procedures.
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.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Looks for ways to expand current job responsibilities.
Open to the suggestions from others.
Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes you feel enthusiastic about your work
Takes responsibility for things that go wrong
Delegate tasks effectively
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
Uses the team to its fullest capacity.
Shows consistency between what they say and do.
Maintains a calm demeanor when addressing stressful issues in the workplace.
Recognizes those who have exceeded expectations.
Successful in resolving personnel conflicts.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Enthusiastic about taking on challenging projects.
Has strong technical/computer skills.
High attention to detail.
Takes responsibility for decisions.
Strong organizational skills to keep the workspace and department in order
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets a good example
Acts as a resource without removing individual responsibility.
...takes personal responsibility for results.
Sets a good example.
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: