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.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Applies complex rules and regulations to maintain optimal system performance.
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
Values and adjusts training to meet diverse learning preferences.
Responds to diverse challenges.
Encourages others to adopt new procedures.
Supports a culture that values flexibility, continuous improvement and innovation.
Flexible and resilient in addressing critical incidents.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adjusts strategies as needed to meet the demands of new environments.
Sets priorities for his/her action and initiates timely action
Focuses efforts on tasks that need to be completed first.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Uses time management to focus on the most critical tasks and allocate time effectively to ensure they are completed.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Recognizes that all parts of a business are connected where a change in one area can impact others in unexpected ways.
Presents data in a format that makes comparisons easier.
Develops quantitative measures of performance.
Able to dissect a problem into its core elements.
Connects experiences, analyzes the facts and spots issues across a wide array of legal and business issues to see patterns and draw conclusions not readily apparent to others.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Inspires others to perform above expectations.
Immediately works on solving problems.
Looks to start work on new projects without waiting for direction from the manager.
Demonstrates resilience by learning from failed attempts and applying insights to future actions.
Initiates actions that impact the department/company.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Follows through and implements innovation initiatives.
Promotes disruptive innovation empowering managers to challenge the status quo and push the boundaries of what's possible.
Fosters an innovative and dynamic work environment where employees feel valued and heard.
Sets company-wide innovation performance targets and goals.
Adjusts creative approaches to ensure they meet both short-term and long-term business goals.
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.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
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 available.
Committed to safety in the workplace.
Mitigates hazards and safety issues that arise.
Supports our company's safety programs.
Performs work safely.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes quick and creative decisions to adjust the strategy to meet the demands of changing situations.
Able to decline a poor strategy by proposing alternate strategies.
Aligns cross-functional teams to the strategic plan.
Makes strategic decisions that take into account a dynamic situation.
Understands how to achieve strategic financial objectives.

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: