Self-Management - 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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Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Consciously controls own negative emotions in order to keep team morale up.
Analyzes interpersonal problems instead of reacting to them.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Continual Learning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Pursues self-improvement through continual learning.
Sets relevant learning objectives and goals.
Builds on their strengths while addressing their weaknesses.
Shares best practices with others and learns from others.
Grasps new ideas, concepts, technical, or business knowledge.
Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Gives direct, constructive, and actionable feedback.
Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
Acts decisively in implementing decisions.
Highly effective supervisor.
Demonstrates leadership and courage in critical situations.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works effectively in dynamic and changing work environments.
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.
Is flexible and open minded in dealing with others.
Able to quickly learn new ways of performing their job.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understanding what others need.
Ensures stakeholders are involved in the decision making process.
Communicates effectively with others.
Seeks to obtain consensus or compromise.
Has excellent influencing/negotiating skills.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements and uses performance measures.
Strong organizational skills to keep the workspace and department in order
Takes responsibility for decisions.
Able to develop, justify and present a budget.
Has strong technical/computer skills.
Juggling Multiple Responsibilities	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Assesses current capabilities before committing to new requests from customers.
Can multi-task while performing all of their other responsibilities and activities.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
Technology Use/Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands and is committed to implementing new technologies.
Supports technical training and development of employees.
Applies complex rules and regulations to maintain optimal system performance.
Adopts the implementation of new technology into the workplace.
Proficient in the use of technical systems and processes.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is a person you can trust.
Works in a way that makes others want to work with her/him.
Sets high personal standards of performance.
Completes assigned work tasks.
Sets a good example
Empowering Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Allows individuals to be responsible for their decisions.
Encourages employees to solve problems on their own.
Sets clear goals for others to accomplish.
Distributes the workload to subordinates.
Avoids micromanaging their employees.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Provides clear, motivating, and constructive feedback.
Helps employees to maintain high personal standards.
Develops the skills and capabilities of others.
Addresses employee behavior problems effectively.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Looks for opportunities to enhance contributions to the bottom line.
Able to decline a poor strategy by proposing alternate strategies.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Fiscal Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops budgets and plans for various programs and initiatives.
Monitors spending.
Keeps excellent records for financial transparency.
Provides budgeting and accounting support to the Company.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.

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: