Recognition- 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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Recognition	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Finds opportunities to recognize others.
Lets employees know when they have done well
Recognizes the abilities and skills of self and others
Makes people around them feel appreciated and valued.
Recognizes individuals for a specific outstanding achievement.
Feedback	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Asks others for their ideas and opinions.
Looks to others for input.
Accepts the views of others.
Considers other's opinion and suggestions.
Shares past experiences with others as learning opportunities.
Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets clear goals and objectives for subordinates.
Motivates and challenges employees to attain a shared vision.
Able to organize the work of others.
Effectively leads others.
Motivates others to reach and exceed organizational goals and objectives.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Keeps stakeholders informed of progress on the project.
Researches potential solutions to meet the constraints of the project.
Identifies the project time and budget constraints.
Plans who, when, and what work needs to get done.
Fosters an environment that promotes collaboration among team members.
Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes proactive steps to address potential issues before they became a problem.
Identifies needs and takes steps to address them.
Effectively handles multiple complex issues simultaneously.
Looks for extra ways to help the department achieve performance goals.
Leverages skills and resources to exceed performance expectations.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Capitalizes on opportunities as they become available.
Initiates projects that have an impact on the department.
Begins immediate action on projects.
Addresses small problems before they become big ones.
Seizes upon opportunities available.
Juggling Multiple Responsibilities	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Begins tasks as soon as possible.
Prioritizes tasks for efficiency.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Completes multiple tasks simultaneously.
Can multitask while performing all of their other responsibilities and activities.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Consistently provides me with timely feedback for improving my performance.
Encourages me to take on greater responsibility.
Effectively organizes resources and plans
Works toward achieving established goals and objectives.
Establishes goals and objectives.
Trustworthy	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is a person you can trust.
Delivers on promises made.
Demonstrates congruence between statements and actions.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Works in a way that makes others want to work with her/him.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Expands network of colleagues to include others who may contribute to the department's success.
Seeks opportunities to meet with others.
Regularly attends conferences and seminars to meet with others in the industry.
Collaborates effectively with team members to achieve shared objectives and meet collective needs.
Exchanges ideas, resources, plans, and technologies with colleagues.
Teamwork	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Treats other team members with respect.
Coaches team on how to solve problems, plan, and meet organizational goals and objectives.
Effective team player
Works with other team members on the project.
Is open to new ideas that may change own goals for benefit of the team
Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Anticipates problems that may affect the department.
Adept at navigating within the culture of the department.
Understands departmental policies and procedures.
Able to use corporate politics to advance department objectives.

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

    -Excellent -Good -Average -Poor




62. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
63. 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?
    
    
    
64. What changes do you see [Company] making in order to raise the standards?
    
    
    
65. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
66. What do you like best about working for [Company]?
    
    
    
67. 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: