Teamwork- 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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Teamwork	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages other team members to adopt new procedures.
Works with other team members to identify bottle necks in the production process.
Recognizes and respects the contributions and needs of each individual.
Willingly share their technical expertise
Demonstrates compassion and respect for others through actions; is concerned about their work and non-work issues
Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets a high level of performance expectations and challenges others to do the same.
Gives inspiring presentations or discussions.
Motivates and challenges employees to attain a shared vision.
Sits down regularly with employees to review their job performance.
Sets clear goals and objectives for subordinates.
Feedback	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is visible and approachable.
Is easy to approach with ideas and opinions.
Open to the suggestions of others.
Shares past experiences with others as learning opportunities.
Accepts the views of others.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Initiates actions that impact the department/company.
Does the right thing without being told.
Takes the initiative to change the direction or course of events.
Engages with new customers immediately.
Initiates new projects for the department.
Juggling Multiple Responsibilities	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Prioritizes tasks for efficiency.
Builds in extra time in the schedule for unplanned events/occurrences.
Ensures that assignments are prioritized according to the needs of the department/company.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Can multitask while performing all of their other responsibilities and activities.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Committed to safety in the workplace.
Creates accurate and effective measures of safety.
Develops a culture of safety.
Ensures compliance with safety regulations.
Is not afraid to question a potential safety issue observed in the workplace.
Co-worker Development	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets and clearly communicates expectations, performance goals, and measurements to others
Adapts coaching and mentoring approach to meet the style or needs of individuals
Provides ongoing feedback to co-workers on their development progress
Gives others development opportunities through project assignments and increased job responsibilities
Takes immediate action on poor performance
Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Anticipates problems that may affect the department.
Able to use corporate politics to advance department objectives.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Understands departmental policies and procedures.
Able to explain departmental policies and procedures to others.

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: