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
Is sincerely interested in the suggestions of co-workers
Readily shares credit and gives others opportunity for visibility.
Lets employees know when they have done well
Makes people around them feel appreciated and valued.
Says "thank you" to show appreciation for work of others.
Feedback	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Considers other's opinion and suggestions.
Open to the suggestions of others.
Actively seeks feedback from others.
Shares past experiences with others as learning opportunities.
Looks to others for input.
Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Acts decisively in implementing decisions.
Able to align manpower, design work, an allocate tasks to achieve goals.
Leads team to set goals, solve problems, and accomplish tasks.
Is a highly effective supervisor.
Guides decision-making by coaching, counseling and rewarding.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Determines the correct order for the phases of the project.
Maintains costs and expenses within budget limits.
Makes sure all team members understand their roles.
Identifies the source materials that will be needed.
Ensures resources are utilized at the appropriate levels for each phase of the project.
Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Anticipates critical incidents in the department and takes steps to mitigate their effect.
Looks for extra ways to help the department achieve performance goals.
Is proactive in addressing the needs of the department.
Immediately develops alternatives and solutions when presented with a problem or issue.
Initiates actions to get things done.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes action without being asked.
Initiates actions that impact the department/company.
Initiates the development of new products.
Independently seeks out new learning opportunities to improve their skills.
Informs the manager of any important changes in the equipment operation.
Juggling Multiple Responsibilities	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
Begins tasks as soon as possible.
Prioritizes tasks for efficiency.
Uses a scheduler/planner to keep tasks organized and on time.
Is aware of the deadlines for specific tasks/assignments.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works toward achieving established goals and objectives.
Assures [Company] principles are understood, employed & pursued.
Consistently provides me with timely feedback for improving my performance.
Sets long-term and short-term goals.
Communicates goals and objectives to employees.
Trustworthy	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works in a way that makes others want to work with her/him.
Delivers on promises made.
Takes ownership, delivers on commitments
Is a person you can trust.
Is trustworthy; is someone I can trust.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Defines a partnering strategy for identifying and selecting a partner.
Develops partnerships with other colleagues in the industry.
Facilitates cross-functional collaboration and information sharing between various stakeholders.
Synchronizes efforts, processes, and resources with partners to enhance strategic opportunities.
Engages in continuous dialogue through regular meetings or virtual meetups.
Teamwork	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Listens carefully to other team members.
Willing to listen to the ideas of other team members.
Emphasizes the importance of getting individuals to work as a team
Creates opportunities to learn with other team members
Fosters respect and understanding among team members
Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Gets things done through the department.
Understands departmental policies and procedures.
Able to use corporate politics to advance department objectives.
Adept at navigating within the culture of the department.
Anticipates problems that may affect the department.

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: