Supervisory Skills - 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.

---

Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Treats all staff equitably.
Maintains good working relationships with employees.
Promotes teamwork and cooperation within the department.
Encourages employees to achieve their full potential.
Is aware of the unique strengths of each employee.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Shown significant improvement in job performance.
Works effectively in the department.
Has great overall performance
Effectively organizes resources and plans
Sets a high standard for job performance.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Motivates others to achieve or exceed goals
Completes work on time
Completes a large volume of work.
Displays high energy and enthusiasm on consistent basis.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works toward achievement of goals even when confronted with obstacles.
Explains the "whys" behind organizational objectives
Encourages a high-energy, fun work environment and coaches others on how to do the same
Directs team in prioritizing daily work activities
Provides clear expectations for employees.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to understand others' points of view.
Accurately perceives the emotional reactions of others.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to control their own emotions.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Willing to try new ideas.
Adapts to new organizational structures, policies, or procedures.
Works effectively during periods of change.
Can handle changes without complaining.
Adapts to circumstances as needed.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works cooperatively with others to solve problems.
Effective in solving problems.
Ability to develop innovative solutions to problems.
Is a good problem solver and decision maker
Identifies and assesses all potential responses to a problem.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Prepares for unexpected contingencies.
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.
Seeks and utilizes opportunities for continuous learning and self-development.
Takes action without being asked.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports our company's safety programs.
Mitigates hazards and safety issues that arise.
Committed to safety in the workplace.
Participates in safety training when offered.
Develops safety guidelines for the department.
Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to see issues from others' perspectives.
Constructively receives criticism and suggestions from others.
Works effectively with people from other departments.
Supports the efforts of other employees in implementing solutions to problems.
Is able to see issues from others' perspectives.

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

    -Excellent -Good -Average -Poor




52. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    


53. 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?
    
    
    


54. What changes do you see [Company] making in order to raise the standards?
    
    


55. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    


56. What do you like best about working for [Company]?
    
    


57. 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: