Results Oriented - 360 Degree Feedback Survey Sample #4

Dear Employee:

Welcome to our 360-Degree Feedback self-assessment questionnaire. Our objective is to provide feedback which will help advance your leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify areas where you are doing well and where you have opportunities to do better. Others will also complete the questionnaire to provide you with feedback.

We have developed this survey with questions tailored for your position in the department to provide you with an opportunity to rate many facets of your leadership performance.

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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Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You help others when free-time is available.
You align team objectives with broader organizational priorities to ensure strategic coherence.
I determine the objectives for the project.
You recognize the problem that needs to be solved.
You have a work ethic with a strong desire to obtain results.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You communicate goals and objectives to employees.
You assure [Company] principles are understood, employed & pursued.
You establish goals and objectives.
You are able to establish realistic goals.
You work toward achieving established goals and objectives.
Decision Making	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You assess the risks, benefits, and potential impact of a number of options when deciding a course of action
You clearly explain the reason behind decisions, include the costs incurred and benefits expected.
You determine the costs and potential benefits of decisions.
You stay true to your values and ethical standards even when decisions are difficult or unpopular.
You approach challenges from unconventional angles, revealing new paths forward.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You provide the necessary support and resources to empower employees to develop and implement innovative ideas.
I transform raw ideas into actionable plans with a higher likelihood of successful implementation.
You create improved methods or solutions for meeting goals and objectives.
You create new ways of doing routine tasks.
I allow employees to dedicate time and resources for innovation to empower them to think creatively and contribute to the department's growth and success.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are willing to see things from others' perspectives.
You adjust plans or schedules to deal with changing situations.
I work with managers who may focus on different areas.
You make adjustments as need to meet the demands of a dynamic marketplace.
I am flexible in adapting to dynamic situations.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You search for new methods, techniques, and processes that increase efficiency and reduce costs.
You analyze processes to determine areas for improvement.
You look for ways to expand and learn new job skills.
I foster a culture of open communication and continuous improvement.
You look for ways to improve work processes and procedures.
Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I treat others with respect and fairness, modeling inclusive and professional behavior across roles.
You connect recognition to ongoing career development and skill advancement.
You motivate others through thoughtful persuasion, fostering buy-in without relying on pressure.
You maintain high personal productivity and reliability, inspiring a culture of share responsibility.
You assess team performance against defined standards.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I gather appropriate business information.
I scan drawings and documents.
You ensure adequate supply levels by monitor inventory and place orders when necessary.
I greet visitors and determine whether they should be given access to specific individuals.
I use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I tailor goals to the particular needs and conditions of the situation.
You communicate to staff the importance of each goal letting them know of the priorities.
You create several short-term goals to achieve quick wins, while also setting longer-term goals based on evolving strengths and achievements.
You serve as a committed partner to significantly enhance the probability of achieving objectives.
I establish baseline measurements of KPIs to compare against progress toward goals.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You set high personal standards of performance.
You work in a way that makes others want to work with you.
You set a good example
You are responsible for setting the vision of the department.
You complete assigned work tasks.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I am an effective negotiator, fostering positive relationships and achieving good outcomes.
I keep a firm grasp on the issues and priorities.
You are able to influence others to accept certain positions.
You change communication styles to meet the listener's needs.
You resolve difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.

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

    -Excellent -Good -Average -Poor




57. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
58. 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?
    
    
    
59. What changes do you see [Company] making in order to raise the standards?
    
    
    
60. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
61. What do you like best about working for [Company]?
    
    
    
62. 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: