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
Observes employees at work to get better insight into the issues they are dealing with.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Creates values statement to ensure all employees are working under the same guiding principles.
Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
Works with others to develop insights into the resources and actions required to produce desired results.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works in an organized manner
Creates a timeline for events and monitors progress.
Adjusts plans as needed according to situational/strategic changes.
Prioritizes tasks based on urgency/need.
Reduces uncertainty in the department through clear planning and schedules.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Engages in partnerships that produce significant results.
Seeks opportunities to meet with others.
Creates value within the Company by building networks.
Actively prevents conflicts by identifying issues early and resolving them promptly.
Develops networks and builds alliances.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Protects the integrity and confidentiality of information
Develops trust and confidence from others.
Establishes relationships of trust, honesty, fairness, and integrity.
Does what was promised.
Demonstrates sincerity in actions with others.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks to obtain consensus or compromise.
Attempts to persuade others rather than simply control them.
Persuades others to consider alternative points of view.
Communicates effectively with others.
Ensures stakeholders are involved in the decision making process.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to develop, justify and present a budget.
High attention to detail.
Accurately implements contract provisions.
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
Takes action to establish clear and concise deadlines for tasks to be completed.
Is an inspiration for others to perform above expectations.
Takes the initiative to change the direction or course of events.
Inspires others to perform above expectations.
Begins immediate action on projects.
Technology Use/Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Applies complex rules and regulations to maintain optimal system performance.
Maximizes the use of new technology to deliver products and services.
Understands and is committed to implementing new technologies.
Proficient in the use of technical systems and processes.
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: