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.
Formulates policies and strategies for addressing the Company's important challenges.
Analyzes unique issues or problems impacting the Company.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Analyzes records and reports to obtain insight into potential issues and trends.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works in an organized manner
Able to identify the needs of the department before a major change.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Delegates role to team members to accomplish goals.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Creates value within the Company by building networks.
Creates the conditions for partnerships to grow and develop.
Maintains infrastructure to support partnerships and networks.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains strong relationships with others.
Follows tasks to completion.
Fosters an environment built upon trust.
Fosters a high standard of ethics and integrity.
Accepts responsibility for mistakes.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Attempts to persuade others rather than simply control them.
Able to express own goals and needs.
Has excellent influencing/negotiating skills.
Understanding what others need.
Ensures stakeholders are involved in the decision making process.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements and uses performance measures.
Able to develop, justify and present a budget.
Has strong technical/computer skills.
Completes reports on-time.
Accurately implements contract provisions.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Goes above and beyond the stated goals.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Takes the initiative to change the direction or course of events.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Immediately works to complete goals well before their deadline.
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.
Maximizes the use of new technology to deliver products and services.
Applies complex rules and regulations to maintain optimal system performance.
Uses technology in decision making and problem solving.
Supports employee training and development initiatives regarding implementation of technology.

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: