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 stay focused on meeting the needs of customers.
You do not become distracted by non-issues or interruptions.
You set the objectives for the team.
You set important goals for the department.
You are highly motivated to complete tasks despite obstacles that may arise.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You communicate goals and objectives to employees.
You are able to organize work.
You are able to establish realistic goals.
You encourage others to take on greater responsibility.
You consistently provide me with timely feedback for improving my performance.
Decision Making	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I gather information before making a decision.
I am open to listening to others who may have different ideas.
You make decisions independently (without having to be told what or how).
I define the parameters that will impact the decision making process.
You remain focused on the immediate goal when making decisions.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You build upon the ideas and solutions of others.
You allocates time and resources specifically for innovation projects, allowing employees to dedicate efforts to exploring new opportunities.
I optimize innovative ideas for maximum success.
You generate innovative and practical ideas and approaches.
You value diverse opinions among team members.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are able to adjusts tactics when things are not working as expected.
You are able to adapt to changes in technology and processes.
You are flexible and open to new ideas and encourages others to recognize the value of change.
You are effective in working with different personnel of the team.
You are able to adjust to changes as needed.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You encourage an employee culture of continuous improvement to seek out better ways of doing things.
You search for new methods, techniques, and processes that increase efficiency and reduce costs.
You look for ways to expand and learn new job skills.
You look for ways to improve work processes and procedures.
You promote training and development opportunities to enhance job performance.
Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You make others feel enthusiastic about your work
You take responsibility for things that go wrong
You set an example for others to follow
You keep staff informed about what is happening in the company
You are ready to offer help
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You complete reports on-time.
You are able to develop, justify and present a budget.
You have a high attention to detail.
You accurately implement contract provisions.
You are enthusiastic about taking on challenging projects.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You set challenging stretch goals
You conduct timely follow-up; keeps others informed on a need to know basis.
You set high expectations and goals; encourages others to support the organization.
You achieve established goals.
You make sure that I have a clear idea of our group's goals.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You hold yourself accountable to goals / objectives
You set high personal standards of performance.
You are responsible for setting the vision of the department.
You set a good example
You take personal responsibility for results.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I understand the other person's needs, concerns, and motivations.
You are flexible in responses.
You are able to say "no" when it is essential to maintaining quality and high standards.
I understand the current situation of both parties.
I create a constructive atmosphere, building a positive relationship for cooperative negotiations.

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: