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Strategic Focus- 360 Degree Feedback Survey Sample #4





Surveys Measuring Strategic Focus:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
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.


Strategic Focus

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
  1. Able to decline a poor strategy by proposing alternate strategies.
  1. Understands & contributes to development of strategic goals.
  1. Looks for opportunities to enhance contributions to the bottom line.
  1. Communicates goals and objectives to employees.

Organizational Fluency

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Gets things done through the department.
  1. Understands departmental policies and procedures.
  1. Effective in communicating with others within the organization.
  1. Anticipates problems that may affect the department.
  1. Understands the current organizational culture.

Company

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Attends [Company] gatherings and social events.
  1. Follows existing procedures and processes.
  1. Understands how decisions impact other business units beyond their immediate department of work group.
  1. Understands the use of [Company] products and services.
  1. Understands the "basics" as to how [Company] functions/operates.

Flexibility

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Is open to alternative ways to accomplish goals
  1. Adapts to new organizational structures, policies, or procedures.
  1. Open to the perspectives/viewpoints of others.
  1. Adapts to circumstances as needed.
  1. Able to adapt to new situations.

Leadership

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Expresses clear goals and objectives.
  1. Demonstrates leadership and courage in critical situations.
  1. Sets a high level of performance expectations and challenges others to do the same.
  1. Takes ownership and accountability for results
  1. Leads team to set goals, solve problems, and accomplish tasks.

Delegation

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Tells subordinates what to do, not how to do it.
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Clearly defines duties and tasks to be completed.
  1. Entrusts subordinates with important tasks.

Goals

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Establishes and documents goals and objectives.
  1. Sets high expectations and goals; encourages others to support the organization.
  1. Understands & contributes to development of strategic goals.
  1. Makes sure that I have a clear idea of our group's goals.

Regulatory/Compliance

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Knows who to contact at various regulatory agencies if needed.
  1. Creates documents and reports as needed to maintain compliance with regulations.
  1. Keeps informed of various regulations and procedures.
  1. Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
  1. Creates and maintains necessary regulatory documentation.

Responsible

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Sets a good example
  1. Responsible for setting the vision of the department.
  1. Works in a way that makes others want to work with her/him.
  1. ...takes personal responsibility for results.
  1. Is a person you can trust.


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






  2. Would you refer others who are seeking employment to [Company]?


    Please provide explanation:


  3. 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?



  4. What changes do you see [Company] making in order to raise the standards?


  5. I feel good about my continued employment with [Company].


    If no, please provide explanation:



  6. What do you like best about working for [Company]?


  7. What do you like least about working for [Company]? How could it be improved?

  8. Use the space below to enter any final comments you would like to be noted: