Results Oriented - 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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Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Does not become distracted by non-issues or interruptions.
Directs team in prioritizing daily work activities
Inspires and motivates co-workers to be productive and energetic at work
Encourages a high-energy, fun work environment and coaches others on how to do the same
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Establishes goals and objectives.
Works toward achieving established goals and objectives.
Able to organize work.
Ability to establish realistic goals.
Effectively organizes resources and plans
Decision Making	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
Exercises good judgment by making sound and informed decisions.
Is able to make decisions quickly.
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
Does not lose sight of the big picture when making decisions
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements best practices within the department.
Analyzes current procedures and identifies opportunities for improvement.
Builds upon the ideas and solutions of others.
Challenges current procedures to develop other alternatives.
Offers constructive improvements to existing systems.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Recognizes and implements changes to enhance efficiency and effectiveness.
Is proactive and takes steps to prepare for changes in the workplace.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Develops insights and applies innovative solutions to projects and problems.
Is flexible and open minded in dealing with others.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Looks for ways to expand current job responsibilities.
Open to the suggestions from others.
Looks for ways to improve work processes and procedures.
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand and learn new job skills.
Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes responsibility for things that go wrong
Makes you feel enthusiastic about your work
Keep staff informed about what is happening in the company
Sets an example for others to follow
Delegate tasks effectively
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements and uses performance measures.
Takes responsibility for decisions.
Strong organizational skills to keep the workspace and department in order
Has strong technical/computer skills.
High attention to detail.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets high expectations and goals; encourages others to support the organization.
Conducts timely follow-up; keeps others informed on a need to know basis.
Understands & contributes to development of strategic goals.
Achieves goals.
Makes sure that team members have a clear idea of our group's goals.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets high personal standards of performance.
Completes assigned work tasks.
Works in a way that makes others want to work with her/him.
...takes personal responsibility for results.
Sets a good example
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Is able to decline bad ideas to avoid making poor decisions.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Able to say "no" when it is essential to maintaining quality and high standards.
Leverages relationships with others to achieve goals.

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: