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
Reinforces and rewards employees for accomplishing necessary goals.
Finds opportunities to recognize others.
Recognizes the abilities and skills of self and others
Recognizes team members who offer a significant contribution to a project.
Feedback	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is visible and approachable.
Looks to others for input.
Accepts the views of others.
Shares past experiences with others as learning opportunities.
Is easy to approach with ideas and opinions.
Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes ownership and accountability for results
Highly effective supervisor.
Gives direct, constructive, and actionable feedback.
Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
Acts decisively in implementing decisions.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Organizes, plans, and directs resources to accomplish the goals and objectives.
Organizes work and sets priorities as needed.
Anticipates potential problems and institutes controls and contingency plans to address them.
Inspires others to accomplish goals and objectives.
Defines project outcomes based on customer requirements.
Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effectively makes decisions
Gets the job done.
Drives and mobilizes others progress toward goals.
Is not afraid to take corrective action when necessary.
Works quickly when faced with difficult problems.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks and utilizes opportunities for continuous learning and self-development.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Takes the initiative to change the direction or course of events.
Prepares for unexpected contingencies.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Juggling Multiple Responsibilities	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Plans and organizes continuously while performing all other responsibilities and activities.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Can multi-task while performing all of their other responsibilities and activities.
Assesses current capabilities before committing to new requests from customers.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Communicates goals and objectives to employees.
Assures [Company] principles are understood, employed & pursued.
Encourages me to take on greater responsibility.
Able to organize work.
Organizes and schedules events, activities, and resources.
Trustworthy	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Communicates an understanding of the other person's interests, needs and concerns.
Is a person you can trust.
Takes care to maintain confidential information.
Consistently keeps commitments.
Demonstrates congruence between statements and actions.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains infrastructure to support partnerships and networks.
Builds alliances between departments and teams.
Promotes the understanding of how the department affects the organization overall.
Seeks an understanding of diverse functions within the Company.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Teamwork	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is open to new ideas that may change own goals for benefit of the team
Actively and openly participates in group meetings.
Identifies and resolves conflicts within the team to increase team effectiveness
Applies knowledge of team behavior to help achieve organizational goals and objectives.
Fosters respect and understanding among team members
Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to explain departmental policies and procedures to others.
Able to deal with sensitive issues with tact and professionalism.
Anticipates problems that may affect the department.
Understands the current organizational culture.
Adept at navigating within the culture of 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: