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
Offers recognition in a timely manner.
Recognizes individuals for a specific outstanding achievement.
Says "thank you" to show appreciation for work of others.
Recognizes the abilities and skills of self and others
Reinforces and rewards employees for accomplishing necessary goals.
Feedback	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Shares past experiences with others as learning opportunities.
Considers other's opinion and suggestions.
Is easy to approach with ideas and opinions.
Accepts the views of others.
Asks others for their ideas and opinions.
Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets a high level of performance expectations and challenges others to do the same.
Able to align manpower, design work, an allocate tasks to achieve goals.
Able to organize the work of others.
Recognizes individual and team accomplishments and reward them appropriately.
Sets specific, measurable, and challenging goals.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adds the necessary time buffers to avoid the project getting behind schedule.
Changes the implementation of specific phases of the project to mitigate certain risks.
Identifies potential risks that could pose challenges to the project timeline.
Accurately determines the number of engineers required for the project.
Establishes the scope for the project.
Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes advantage of changes to the current situation.
Addresses performance issues quickly.
Takes action to respond to dissatisfied customer.
Seeks new opportunities for advancement.
Persists in work despite obstacles encountered.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes on additional tasks without being asked or told to do so.
Confronts problems immediately without supervisor instructions.
Takes the initiative to change the direction or course of events.
Is a self-starter. Does not wait to be told to do something.
Takes corrective action to rectify issues.
Juggling Multiple Responsibilities	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Plans and organizes continuously while performing all other responsibilities and activities.
Is aware of the deadlines for specific tasks/assignments.
Organizes tasks for the most efficient order of completion.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Consistently provides me with timely feedback for improving my performance.
Works toward achieving established goals and objectives.
Sets long-term and short-term goals.
Encourages me to take on greater responsibility.
Assures [Company] principles are understood, employed & pursued.
Trustworthy	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is a person you can trust.
Demonstrates congruence between statements and actions.
Takes ownership, delivers on commitments
Is trustworthy; is someone I can trust.
Delivers on promises made.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks to increase exchanges of information with other companies/colleagues.
Ensures all participants in the network are treated fairly and equitably.
Supports a partnering/networking culture.
Promotes teamwork across departments, encouraging information exchange, and setting common goals.
Fosters cross-department collaboration, facilitates information sharing, and establishes common objectives.
Teamwork	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages dialog between team members.
Provides assistance and support to other team members when needed
Works with other team members on the project.
Actively participates in the work of teams; seeks and listens to others' contributions
Helps other team members to research solutions to a problem.
Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Gets things done through the department.
Able to explain departmental policies and procedures to others.
Anticipates problems that may affect the department.
Is aware of other organizational cultures to compare/contrast with 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: