Strategic Insight- 360 Degree Feedback Survey Sample #4





Surveys Measuring Strategic Insight:
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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.

Sample Result Document:
Sample Results
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 Insight

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Maintains knowledge of current trends in the industry.
  1. Converses with customers and clients to get a better insight into their personal needs.
  1. Develops a plan and strategy for each functional area within the mission statement.
  1. Attends industry conferences to gain further insight into how other companies deal with similar issues.
  1. Lets employees know how their roles contribute toward the achievement of strategic company objectives.

Planning

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Plans for future staffing needs.
  1. Develops strategic plans for the company/organization.
  1. Open to input from others into the plan for the project.
  1. Anticipates obstacles and ways to overcome them.
  1. Adjusts and rearranges the schedule to maximize efficiency.

Partnering/Networking

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Develops internal alliances with others in the department.
  1. Forms strategic partnerships and business alliances to expand opportunities.
  1. Partners with peers to obtain influence within the Company.
  1. Shares resources, technology, facilities, or intellectual property to benefit both partners.
  1. Seeks opportunities to meet with others.

Integrity

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Fosters a high standard of ethics and integrity.
  1. Establishes relationships of trust, honesty, fairness, and integrity.
  1. Develops trust and confidence from others.
  1. Does what was promised.
  1. Protects the integrity and confidentiality of information

Persuasion and Influence

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Attempts to persuade others rather than simply control them.
  1. Ensures stakeholders are involved in the decision making process.
  1. Has excellent influencing/negotiating skills.
  1. Communicates effectively with others.
  1. Persuades others to consider alternative points of view.

Administrative Skill

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Has strong technical/computer skills.
  1. Completes reports on-time.
  1. High attention to detail.
  1. Implements and uses performance measures.
  1. Enthusiastic about taking on challenging projects.

Initiative

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Initiates actions that impact the department/company.
  1. Looks to start work on new projects without waiting for direction from the manager.
  1. Takes action to implement new changes in the policies and procedures.
  1. Anticipates problems and initiates plans to address them.
  1. Initiates draft reports for consideration.

Technology Use/Management

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Maximizes the use of new technology to deliver products and services.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Understands and is committed to implementing new technologies.
  1. Uses technology in decision making and problem solving.


  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: