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
Communicates vision for the department and company.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Identifies potential problems before they become critical incidents.
Identifies root causes of problems.
Maintains knowledge of current trends in the industry.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Schedules staff based on seasonal needs.
Understands what materials will be required to successfully implement the plan.
Develops good plans used for logistics.
Reorders the schedule of events to maximize attendance/efficiency.
Determines the steps required for completion of a task.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Promotes the understanding of how the department affects the organization overall.
Supports and encourages relationships that are created by diverse team members.
Supports a partnering/networking culture.
Creates value within the Company by building networks.
Seeks to reduce institutional roadblocks to information sharing.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Fosters an environment built upon trust.
Accepts responsibility for mistakes.
Follows tasks to completion.
Maintains strong relationships with others.
Develops trust and confidence from others.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks to obtain consensus or compromise.
Develops a good rapport with others.
Communicates effectively with others.
Has excellent influencing/negotiating skills.
Attempts to persuade others rather than simply control them.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to develop, justify and present a budget.
Implements and uses performance measures.
Has strong technical/computer skills.
Strong organizational skills to keep the workspace and department in order
Enthusiastic about taking on challenging projects.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Goes above and beyond the stated goals.
Takes the initiative to change the direction or course of events.
Takes the initiative to complete tasks ahead of schedule.
Is proactive when preparing for potential problems or critical events.
Gladly seeks additional responsibilities.
Technology Use/Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Supports technical training and development of employees.
Uses technology in decision making and problem solving.
Maximizes the use of new technology to deliver products and services.
Proficient in the use of technical systems and processes.

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: