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
Proficient in the use of technical systems and processes.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Uses technology in decision making and problem solving.
Supports technical training and development of employees.
Adopts the implementation of new technology into the workplace.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Can handle changes without complaining.
Able to adapt to new situations.
Adapts to circumstances as needed.
Is open to alternative ways to accomplish goals
Effective in incorporating new ideas.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
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.
Conveys a sense of urgency about addressing problems and opportunities
Motivates others to achieve or exceed goals
Completes work on time
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Balances risks and costs with the rewards and probabilities of success when decisions.
Identifies opportunities for progress and innovation.
Identifies problems and issues needing resolution.
Selects the appropriate techniques for analysis.
Implements data validation techniques and methods.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Immediately informs the supervisor of any critical incidents.
Is proactive and gets things done.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Initiates draft documents for the director.
Acts with urgency when time is of the essence.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Finds creative ways to get things done with limited resources.
Challenges current procedures to develop other alternatives.
Takes risks to advance important ideas.
Encourages open communication to ensure that all proposals are considered.
Fosters a creative and innovative work environment.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages commitment in others to obtain results.
Committed to the team.
Coordinates all department activities into a cohesive team effort.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Maintains persistence and dedication to achieving results.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Participates in safety training when offered.
Develops a sustainable safety culture.
Supports safety programs and procedures.
Performs work safely.
Creates accurate and effective measures of safety.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Inspires employees to adopt the strategic plan.
Is effective in using strategic tools such as value chain analysis, business environment analysis, and competitor analysis.
Develops a corporate strategy to establish business operations in different locations.
Assigns individuals the responsibility of keeping track of progress toward achieving milestones.
Strategically deploys resources to areas of the greatest need.

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: