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
Sets a good example.
Sets high personal standards of performance.
Is a person you can trust.
Behavior is ethical and honest.
...takes personal responsibility for results.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Critiques own performance and learns from experience as a source of continuous improvement.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Demonstrates through personal behavior the commitment to high standards of performance.
Actively seeks to learn by asking questions and listening to all store associates.
Constantly enhances product knowledge through experimentation and play.
Punctuality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Invoices clients on a timely basis.
Maintains an efficient schedule of activities.
Starts meetings on time.
Starts the workday when scheduled.
Arrives to meetings on time.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is attentive to emotional cues and interprets others' feelings correctly.
Accurately perceives the emotional reactions of others.
Is able to express themselves clearly.
Is able to manage their own emotions.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Inspires others to accomplish goals and objectives.
Regularly reviews project performance and goals.
Develops performance measures for various aspects of the project.
Organizes, plans, and directs resources to accomplish the goals and objectives.
Works with customers and clients to assess their needs and define project parameters.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Achieves established goals.
Achieves goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Goal Setting
Sets high expectations and goals; encourages others to support the organization.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Does not hesitate to address customer concerns or complaints.
Consistently models positive customer service attitudes.
Ensures all customer commitments and requirements are met or exceeded.
Develops good rapport and trust with the customer.
Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Capitalizes on partnerships and networks to enhance the Company's bottom line.
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.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Assists team members by helping them see the other point of view.
Clearly expresses expectations to others.
Discusses conflict situations with supervisor.
Deals effectively with employee grievances.
Tries to understand others' point of view before making judgments
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Communicates vision for the department and company.
Maintains knowledge of current trends in the industry.
Implements long-term solutions to problems.
Analyzes records and reports to obtain insight into potential issues and trends.
Formulates policies and strategies for addressing the Company's important challenges.

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: