Responsibility - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to the Employee Survey. Our objective is to understand and express the values which will ensure is an exceptional place to work. 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 our staff and business to provide you with an opportunity to anonymously rate many facets of the business. The survey will assess what you value most in your employment 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 and . 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
Completes assigned work tasks.
Works in a way that makes others want to work with her/him.
Is a person you can trust.
Sets high personal standards of performance.
...takes personal responsibility for results.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Constantly enhances product knowledge through experimentation and play.
Actively seeks to learn by asking questions and listening to all store associates.
Holds self and associates accountable for goal achievement.
Demonstrates through personal behavior the commitment to high standards of performance.
Critiques own performance and learns from experience as a source of continuous improvement.
Punctuality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Arrives to meetings on time.
Responds to requests for information in a timely manner.
Avoids making personal phone calls during working hours.
Invoices clients on a timely basis.
Maintains an efficient schedule of activities.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to control their own emotions.
Accurately perceives the emotional reactions of others.
Is able to manage their own emotions.
Able to understand others' points of view.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops action items, workplans, timelines, and criteria for projects.
Anticipates potential problems and institutes controls and contingency plans to address them.
Regularly reviews project performance and goals.
Maintains costs and expenses within budget limits.
Organizes work and sets priorities as needed.
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.
Conducts timely follow-up; keeps others informed on a need to know basis.
Establishes and documents goals and objectives.
Goal Setting
Understands & contributes to development of strategic goals.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops strong customer relationships.
Ensures all customer commitments and requirements are met or exceeded.
Considers customers point of view when making decisions.
Maintains positive customer relationships.
...friendliness and courtesy
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Builds alliances between departments and teams.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Creates the conditions for partnerships to grow and develop.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Supports a partnering/networking culture.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Tries to understand others' point of view before making judgments
Assists team members by helping them see the other point of view.
Helps employees to think through alternative ways to resolve conflict situations.
Discusses conflict situations with supervisor.
Identifies and takes steps to prevent potential confrontations.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains knowledge of current trends in the industry.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Anticipates business cycles and trends and makes adjustments in a timely manner.
Communicates vision for the department and company.
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: