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
Recognizes the abilities and skills of self and others
Offers recognition in a timely manner.
Compliments other people when they do good work
Finds opportunities to recognize others.
Readily shares credit and gives others opportunity for visibility.
Feedback	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Asks others for their ideas and opinions.
Accepts the views of others.
Is visible and approachable.
Is easy to approach with ideas and opinions.
Open to the suggestions of others.
Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets clear goals and objectives for subordinates.
Sits down regularly with employees to review their job performance.
Holds others accountable for their actions.
Demonstrates leadership and courage in critical situations.
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
Defines project outcomes based on customer requirements.
Develops action items, workplans, timelines, and criteria for projects.
Inspires others to accomplish goals and objectives.
Organizes work and sets priorities as needed.
Works with customers and clients to assess their needs and define project parameters.
Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is not afraid to take corrective action when necessary.
Works quickly when faced with difficult problems.
Gets the job done.
Drives and mobilizes others progress toward goals.
Does whatever it takes (within reason) to get the job done.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Inspires others to perform above expectations.
Initiates important conversation topics at meetings.
Begins immediate action on projects.
Is proactive when preparing for potential problems or critical events.
Takes action to establish clear and concise deadlines for tasks to be completed.
Juggling Multiple Responsibilities	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Keeps track of multiple assignments and deadlines.
Ensures that assignments are prioritized according to the needs of the department/company.
Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
Plans and organizes continuously while performing all other responsibilities and activities.
Spends the most time and effort on critical tasks first.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Establishes goals and objectives.
Organizes and schedules events, activities, and resources.
Effectively organizes resources and plans
Consistently provides me with timely feedback for improving my performance.
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.
Demonstrates a sense of responsibility and commitment to public trust.
Builds and maintains the trust of others.
Takes care to maintain confidential information.
Delivers on promises made.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Collaborates with others to accomplish goals and objectives.
Supports a partnering/networking culture.
Creates the conditions for partnerships to grow and develop.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Teamwork	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Actively participates in the work of teams; seeks and listens to others' contributions
Encourages teamwork and collaboration.
Recognizes and respects the contributions and needs of each individual.
Builds consensus and shares relevant information.
Provides assistance and support to other team members when needed
Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effective in communicating with others within the organization.
Gets things done through the department.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Anticipates problems that may affect the department.
Understands departmental policies and procedures.

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: