Responsibility - 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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Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Behavior is ethical and honest.
...takes personal responsibility for results.
Completes assigned work tasks.
Holds herself / himself accountable to goals / objectives
Is a person you can trust.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrates through personal behavior the commitment to high standards of performance.
Takes advantage of training opportunities when they arise.
Inspires others to learn new things.
Is open to feedback from others.
Is committed to enhancing their own knowledge and skills.
Punctuality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Invoices clients on a timely basis.
Responds to requests for information in a timely manner.
Starts meetings on time.
Maintains an efficient schedule of activities.
Starts the workday when scheduled.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Accurately perceives the emotional reactions of others.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to manage their own emotions.
Is able to express themselves clearly.
Is attentive to emotional cues and interprets others' feelings correctly.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works with customers and clients to assess their needs and define project parameters.
Anticipates potential problems and institutes controls and contingency plans to address them.
Formulates the schedule for the project phases, resoures usage, and benchmarks.
Determines the appropriate strategy for mitigating specific risks.
Conducts a risk assessment for the project.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes sure that team members have a clear idea of our group's goals.
Achieves goals.
Establishes and documents goals and objectives.
Conducts timely follow-up; keeps others informed on a need to know basis.
Makes sure that I have a clear idea of our group's goals.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Responsive to customer needs.
Maintains up-to-date information regarding customer products.
Attends to the customer's needs in addition to the specific needs of the project.
Promptly responds to customers.
Is honest in all communication with the customers.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Nurtures a collaborative and inclusive environment that encourages knowledge sharing and continuous learning.
Works in tandem with colleagues to pursue common goals and needs.
Finds common ground with a wide range of stakeholders.
Can perform a risk assessment to show a balanced view of the partnership's potential outcomes.
Organizing team-building activities to strengthen bonds between colleagues.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Establishes roles and responsibilities of team members.
Identifies who holds the authority to make decisions.
Prevents minor issues from escalating into major problems.
Attempts to determine the root sources of grievances.
Creates an environment where team members work collaboratively rather than compete with one another.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains knowledge of current trends in the industry.
Identifies root causes of problems.
Communicates with employees to find out their needs.
Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.

51. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




52. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
53. 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?
    
    
    
54. What changes do you see [Company] making in order to raise the standards?
    
    
    
55. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
56. What do you like best about working for [Company]?
    
    
    
57. 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: