Technology Use/Management - 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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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.
Applies complex rules and regulations to maintain optimal system performance.
Adopts the implementation of new technology into the workplace.
Supports employee training and development initiatives regarding implementation of technology.
Proficient in the use of technical systems and processes.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies new opportunities to achieve goals
Can handle changes without complaining.
Encourages others to adopt new procedures.
Adapts to new organizational structures, policies, or procedures.
Implements changes as a result of having listened to employees
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Displays high energy and enthusiasm on consistent basis.
Conveys a sense of urgency about addressing problems and opportunities
Encourages risk taking and experimentation to improve performance
Identifies ways to simplify work processes and reduce cycle times
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies the root cause of a problem.
Analyzes issues and reduces them to their component parts.
Analyzes data and information from several sources and arrives at logical conclusions.
Selects the appropriate techniques for analysis.
Asks the "right" questions to size up or evaluate situations.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Goes above and beyond the stated goals.
Takes action without being asked.
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.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Suggests new ideas at meetings.
Challenges current procedures to develop other alternatives.
Offers constructive improvements to existing systems.
Creates a safe environment for idea-sharing.
Implements best practices within the department.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Coordinates all department activities into a cohesive team effort.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Committed to the team.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies and addresses safety needs.
Develops safety guidelines for the department.
Mitigates hazards and safety issues that arise.
Is aware of OSHA safety guidelines.
Is not afraid to question a potential safety issue observed in the workplace.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Communicates goals and objectives to employees.
Understands their role within the organization.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.

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

    -Excellent -Good -Average -Poor




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


48. 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?
    
    
    


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


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


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


52. 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: