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
Applies complex rules and regulations to maintain optimal system performance.
Adopts the implementation of new technology into the workplace.
Understands and is committed to implementing new technologies.
Proficient in the use of technical systems and processes.
Supports employee training and development initiatives regarding implementation of technology.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adapts to new organizational structures, policies, or procedures.
Able to adapt to new situations.
Willing to try new ideas.
Works effectively during periods of change.
Open to the perspectives/viewpoints of others.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Displays high energy and enthusiasm on consistent basis.
Motivates others to achieve or exceed goals
Encourages risk taking and experimentation to improve performance
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Completes a large volume of work.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies problems and issues needing resolution.
Identifies opportunities for progress and innovation.
Prioritizes various actions to be taken when solving a problem.
Identifies the root cause of a problem.
Uses appropriate techniques to solve problems.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Actively works on resolving the issue instead of procrastinating or hoping it will resolve itself.
Takes corrective action to address performance deficiencies/issues.
Immediately works to complete goals well before their deadline.
Initiates important conversation topics at meetings.
Immediately informs the HR Department of any personnel complaints or issues.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes current procedures and identifies opportunities for improvement.
Finds creative ways to get things done with limited resources.
Searches for opportunities and innovative ways to improve the organization.
Offers constructive improvements to existing systems.
Creates improved methods or solutions for meeting goals and objectives.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Willing to do whatever it takes-not afraid to have to put in extra effort.
Able to focus on a task even when working alone.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Committed to the team.
Encourages commitment in others to obtain results.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ensures that all supervisors are aware of regulatory and compliance measures.
Supports safety programs and procedures.
Participates in safety training as applicable.
Develops a culture of safety.
Participates in safety training when offered.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Looks for opportunities to enhance contributions to the bottom line.
Understands their role within the organization.
Communicates goals and objectives to employees.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.

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: