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
Readily shares credit and gives others opportunity for visibility.
Is sincerely interested in the suggestions of co-workers
Lets employees know when they have done well
Says "thank you" to show appreciation for work of 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
Actively seeks feedback from others.
Seeks feedback to enhance performance.
Open to the suggestions of others.
Looks to others for input.
Is visible and approachable.
Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Motivates and challenges employees to attain a shared vision.
Motivates others to reach and exceed organizational goals and objectives.
Guides decision-making by coaching, counseling and rewarding.
Sits down regularly with employees to review their job performance.
Demonstrates leadership and courage in critical situations.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Determines the project scope.
Makes sure all team members understand their roles.
Prepares and utilizes QC Checklists to ensure high quality.
Implements risk mitigation strategies to help move the project to successful completion.
Able to adjust project schedule as needed to accommodate unforeseen issues.
Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates opportunities and then takes advantage of them.
Does not procrastinate when there is a job to be done.
Decides to act rather than remain passive.
Motivates & supports others to gain skills
Takes steps to prepare for the start of the project.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes on extra projects after required work is completed.
Builds strong interpersonal relationships upon first meeting.
Is an inspiration for others to perform above expectations.
Looks for opportunities to move projects forward.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
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.
Builds in extra time in the schedule for unplanned events/occurrences.
Switches attention to more urgent tasks when necessary.
Determines which tasks are critical and which tasks are optional.
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
Encourages me to take on greater responsibility.
Establishes goals and objectives.
Consistently provides me with timely feedback for improving my performance.
Ability to establish realistic goals.
Sets long-term and short-term goals.
Trustworthy	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Consistently keeps commitments.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Takes ownership, delivers on commitments
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.
Builds alliances between departments and teams.
Creates the conditions for partnerships to grow and develop.
Collaborates with others to accomplish goals and objectives.
Creates value within the Company by building networks.
Teamwork	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Finds opportunities to recognize and reward team members.
Is able to accurately paraphrase and summarize what other team members have said.
Makes eye contact when listening to colleagues.
Coaches team members
Works with other team members to achieve objectives.
Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adept at navigating within the culture of the department.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Able to use corporate politics to advance department objectives.
Effective in communicating with others within the organization.
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: