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
Encourages employees to take responsibility for mistakes.
Decides what supplies need to be purchased.
Communicates effectively with employees.
Communicates the goals and expectations for the team.
Assigns tasks appropriately.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Listens and responds to issues and problems
Works well in this position.
...Overall Performance
Able to organize work.
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
Conveys a sense of urgency about addressing problems and opportunities
Completes work on time
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Identifies ways to simplify work processes and reduce cycle times
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Determines the proper order for completion of the tasks.
Has a work ethic with a strong desire to obtain results.
Creates measures of performance to track progress.
Willing to take on new assignments to help increase production.
Holds self and others accountable for achieving results.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Accurately perceives the emotional reactions of others.
Is able to express themselves clearly.
Is able to control their own emotions.
Is able to manage their own emotions.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Can handle changes without complaining.
Effective in incorporating new ideas.
Is open to alternative ways to accomplish goals
Implements changes as a result of having listened to employees
Adapts to circumstances as needed.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is a good problem solver and decision maker
Understands the root causes of problems.
Works cooperatively with others to solve problems.
Finds creative ways to get things done with limited resources.
Makes judgments based upon relevant information.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps the department take the initiative to create new solutions.
Looks for opportunities to move projects forward.
Cleans the workspace without being told.
Initiates draft reports for consideration.
Seeks and utilizes opportunities for continuous learning and self-development.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages others to attend safety training.
Identifies and addresses safety needs.
Creates accurate and effective measures of safety.
Develops a culture of safety.
Commits adequate resources toward safety measures.
Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Respects the opinions of other employees.
...treats others with respect and dignity.
Consistently demonstrates ability and willingness to trust others.
Supports the efforts of other employees in implementing solutions to problems.
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: