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.

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Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is sought after for advice in a variety of situations.
Facilitates conversations where each person can be heard.
Is respectful toward employees.
Successful in resolving personnel conflicts.
Fosters an environment that supports open communication.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...Produce Quality
...Overall Performance
Listens and responds to issues and problems
Works effectively in the department.
Effective in performing his/her job.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages risk taking and experimentation to improve performance
Seeks and utilizes opportunities for continuous learning and self-development.
Completes a large volume of work.
Identifies ways to simplify work processes and reduce cycle times
Conveys a sense of urgency about addressing problems and opportunities
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Directs team in prioritizing daily work activities
Stays focused on meeting the needs of customers.
Explains the "whys" behind organizational objectives
Works toward achievement of goals even when confronted with obstacles.
Does not become distracted by non-issues or interruptions.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to express themselves clearly.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Accurately perceives the emotional reactions of others.
Able to understand others' points of view.
Is attentive to emotional cues and interprets others' feelings correctly.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works effectively during periods of change.
Able to adapt to new situations.
Willing to try new ideas.
Can handle changes without complaining.
Implements changes as a result of having listened to employees
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands the root causes of problems.
Generates alternative solutions to problems and challenges.
Identifies and assesses all potential responses to a problem.
Solves problems using logic and insight.
Makes judgments based upon relevant information.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is proactive when preparing for potential problems or critical events.
Acts quickly to address any issues or problems.
Immediately informs the HR Department of any personnel complaints or issues.
Seeks and utilizes opportunities for continuous learning and self-development.
Acts with urgency when time is limited.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is aware of OSHA safety guidelines.
Participates in safety training when available.
Points out behaviors in others that may be unsafe.
Participates in safety training when offered.
Performs work safely.
Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to see issues from others' perspectives.
...treats others with respect and dignity.
Works across boundaries within the organization.
Consistently demonstrates ability and willingness to trust others.
Helpful

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: