Strategic Insight- 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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Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates values statement to ensure all employees are working under the same guiding principles.
Works with others to develop insights into the resources and actions required to produce desired results.
Analyzes records and reports to obtain insight into potential issues and trends.
Meets with customers to gain insight into their core needs and how best to serve them.
Adjusts strategic plans based on insights gathered from different points of view.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Determines the amount of materials/supplies needed for the project.
Is able to clearly articulate the plan for the department/district.
Develops plans to ensure the smooth operation of the supply chain.
Creates to-do lists to make sure nothing is missed.
Involves relevant coworkers in the development of the plan.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains communication channels with colleagues in the industry.
Establishes regular check-ins to ensure alignment and address any emerging issues.
Is comfortable working in partnership with colleagues from other departments.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Is aware of the location/availability of resources within the network.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Establishes relationships of trust, honesty, fairness, and integrity.
Develops trust and confidence from others.
Follows tasks to completion.
Demonstrates honesty and truthfulness at all times.
Maintains strong relationships with others.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to express own goals and needs.
Communicates effectively with others.
Has excellent influencing/negotiating skills.
Understanding what others need.
Attempts to persuade others rather than simply control them.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Enthusiastic about taking on challenging projects.
High attention to detail.
Able to develop, justify and present a budget.
Has strong technical/computer skills.
Strong organizational skills to keep the workspace and department in order
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Initiates projects that have an impact on the department.
Acts quickly to address any issues or problems.
Guides strategic initiatives to advance the department/organization.
Is proactive and gets things done.
Begins immediate action on projects.
Technology Use/Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Uses technology in decision making and problem solving.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Applies complex rules and regulations to maintain optimal system performance.
Maximizes the use of new technology to deliver products and services.
Supports technical training and development of employees.

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

    -Excellent -Good -Average -Poor




42. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
43. 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?
    
    
    
44. What changes do you see [Company] making in order to raise the standards?
    
    
    
45. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
46. What do you like best about working for [Company]?
    
    
    
47. 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: