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
Uses technology in decision making and problem solving.
Supports technical training and development of employees.
Maximizes the use of new technology to deliver products and services.
Understands and is committed to implementing new technologies.
Adopts the implementation of new technology into the workplace.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages open communication and collaboration, allowing everyone to contribute their ideas and perspectives.
Is open to and values diverse perspectives.
Demonstrates the ability to think outside the box and adjust as needed.
Is flexible in solving difficult problems.
Allows for flexibility in the agenda for the team meeting.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Conveys a sense of urgency about addressing problems and opportunities
Encourages risk taking and experimentation to improve performance
Completes work on time
Identifies ways to simplify work processes and reduce cycle times
Displays high energy and enthusiasm on consistent basis.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Can effectively interpret and analyze data.
Formats data to facilitate easy comparisons.
Finds trends in data to helped make important decisions.
Helps employees see that changes in one part of the business can affect other parts.
Evaluates whether the information is specific enough to be meaningful.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Initiates projects that have an impact on the department.
Takes advantage of opportunities when they become available.
Acts on own initiative to improve the department outcomes.
Acts independently to solve pressing needs.
Initiates the development of new products.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Offers innovative solutions to Company problems.
Fine-tunes innovative strategies to maximize resource utilization and achieve desired outcomes.
Champion disruptive innovations to open new market opportunities and redefine industry standards.
Ensures employees possess the necessary technical competencies to engage in innovation.
Embraces disruptive strategies enabling the organization to create groundbreaking advancements that outpace competitors.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
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.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
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
Is aware of OSHA safety guidelines.
Encourages others to work safely.
Commits adequate resources toward safety measures.
Develops safety guidelines for the department.
Develops a culture of safety.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Scans both the internal and external environment to identify strategic opportunities to improve the organization.
Aligns cross-functional teams to the strategic plan.
Creates strategic objectives to increase revenue and profit margins.
Develops a strategic vision for the future.
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: