Self-Management - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. 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 [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills 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 . 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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Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Uses patience and self-control in working with customers and associates.
Steps away from a situation to process appropriate response.
Analyzes interpersonal problems instead of reacting to them.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Continual Learning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes the initiative to learn new skills.
Sets relevant learning objectives and goals.
Participates in regular training offered.
Builds on their strengths while addressing their weaknesses.
Takes charge of their training and skills enhancement.
Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates a supportive learning environment that encourages employees to take risks and try new things.
Meets regularly with subordinates to align their work with the goals and objectives of the Company.
Is a highly effective supervisor.
Serves as a role model for others.
Gets others to participate in making decisions and in setting goals for project completion without dictating or providing answers.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Learns new skills to stay competitive in the workplace.
Adjusts plans to meet new situations.
Adapts leadership style to meet the needs created by changes in personnel of the department.
Effective in working with different personnel of the team.
Adjusts behaviors and language in dealing with individuals from other cultures or customs.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adjusts communication style and tactics based on counterpart dynamics to maintain engagement and forward momentum.
Develops a good rapport with others.
Able to deliver extemporaneous speeches to influence employees.
Cultivates advocates for the project to help spread the word through their peers.
Always provides specifics and facts to backup arguments.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Plans, develops, and delivers presentations.
Uses logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Actively listens to what individuals are saying taking time to understand the points being made.
Screens calls.
Proofreads and edits documents to ensure accuracy, clarity, and consistency.
Juggling Multiple Responsibilities	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Switches attention to more urgent tasks when necessary.
Ensures that assignments are prioritized according to the needs of the department/company.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Assesses current capabilities before committing to new requests from customers.
Technology Use/Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports employee training and development initiatives regarding implementation of technology.
Maximizes the use of new technology to deliver products and services.
Adopts the implementation of new technology into the workplace.
Supports technical training and development of employees.
Proficient in the use of technical systems and processes.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...takes personal responsibility for results.
Sets high personal standards of performance.
Works in a way that makes others want to work with her/him.
Sets a good example.
Acts as a resource without removing individual responsibility.
Empowering Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Set clear goals for assignments.
Gives employees the authority to act on their own.
Allows employees to make their own decisions.
Supports the decisions of others.
Encourages employees to make informed decisions based on their own judgment and reasoning.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Asks clarifying questions to get a better understanding of assumptions, positions, and goals.
Is empathetic to the current workload and situation that the employee may be experiencing.
Shows employees their areas of strengths.
Encourages the employee to use brainstorming sessions to generate creative ideas, emphasizing that there are always multiple paths forward.
Encourages the employee to see things from different perspectives.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains a strategic focus on external factors impacting the success of the company.
Develops high-level strategic planning models to identify opportunities to improve the company.
Modifies strategic decisions depending on changes in the business environment.
Identifies and addresses strategic risks impacting operations.
Creates a strategy to achieve departmental objectives.
Fiscal Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Keeps excellent records for financial transparency.
Monitors spending.
Develops budgets and plans for various programs and initiatives.
Provides budgeting and accounting support to the Company.
Effective in using Company's resources.

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

    -Excellent -Good -Average -Poor




67. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
68. 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?
    
    
    
69. What changes do you see [Company] making in order to raise the standards?
    
    
    
70. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
71. What do you like best about working for [Company]?
    
    
    
72. 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: