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 inspire and motivates co-workers to be productive and energetic at work
You work toward achievement of goals even when confronted with obstacles.
You demonstrate the personal confidence to "stay the course," even when faced with difficulty
You provide clear expectations for employees.
You stay focused on meeting the needs of customers.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You consistently provide me with timely feedback for improving my performance.
You organize and schedules events, activities, and resources.
You establish goals and objectives.
You effectively organize resources and plans
You are able to establish realistic goals.
Decision Making	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are willing to consider information from other sources.
I am able to make decisions quickly.
You come across as confident, decisive, and resilient
I regularly evaluate information before making important decisions.
I carefully evaluate information before making an important decision.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You develop new products and services.
You encourage open communication to ensure that all proposals are considered.
You foster a creative and innovative work environment.
You create improved methods or solutions for meeting goals and objectives.
You suggest new ideas at meetings.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You can adjust plans and procedures.
You can handle unexpected events without a loss of productivity.
You learn from personal experiences and/or mistakes.
You work effectively with various personalities of team members.
You are able to recognize the potential benefits of change, and create an infrastructure which supports change.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You look for ways to improve work processes and procedures.
You look for ways to expand and learn new job skills.
You promote training and development opportunities to enhance job performance.
You look for ways to expand current job responsibilities.
You search for new methods, techniques, and processes that increase efficiency and reduce costs.
Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are ready to offer help
You delegate tasks effectively
You take responsibility for things that go wrong
You make others feel enthusiastic about your work
You set an example for others to follow
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You have a high attention to detail.
You have strong organizational skills to keep the workspace and department in order
You are able to develop, justify and present a budget.
You accurately implement contract provisions.
You take responsibility for decisions.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You set high expectations and goals; encourages others to support the organization.
You make sure that I have a clear idea of our group's goals.
You understand and contribute to development of strategic goals.
You make sure that team members have a clear idea of our group's goals.
You conduct timely follow-up; keeps others informed on a need to know basis.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Your behavior is ethical and honest.
You set a good example.
You set high personal standards of performance.
You work in a way that makes others want to work with you.
You are a person others can trust.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
You maintain good interpersonal relationships with representatives from the other party.
You research the needs of the other party to identify strengths and weaknesses of positions.
You establish clear communications to avoid misunderstandings.
You change communication styles to meet the listener's needs.

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: