Time Management - 360 Degree Feedback Survey Sample #4

Dear Employee:

Welcome to our 360-Degree Feedback self-assessment questionnaire. Our objective is to provide feedback which will help advance your leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify areas where you are doing well and where you have opportunities to do better. Others will also complete the questionnaire to provide you with feedback.

We have developed this survey with questions tailored for your position in the department to provide you with an opportunity to rate many facets of your leadership performance.

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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Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I am always on time for meetings.
You focus on tasks that have high priority.
You are excellent at keeping track of time.
I consistently meet the project schedule.
You make time for developing plans and schedules.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You establish goals and objectives.
You organize and schedules events, activities, and resources.
You set long-term and short-term goals.
You are able to establish realistic goals.
You work toward achieving established goals and objectives.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are able to step in and help co-workers when needed.
You are able to adjusts tactics when things are not working as expected.
You are able to adjust plans to meet new situations.
You are flexible and open to new ideas and encourages others to recognize the value of change.
You are open to changes in policies and procedures.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You analyze interpersonal problems instead of reacting to them.
You step away from a situation to process appropriate response.
You do not allow own emotions to interfere with the performance of others.
You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
You use patience and self-control in working with customers and associates.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You promote training and development opportunities to enhance job performance.
You look for ways to expand current job responsibilities.
You look for ways to expand and learn new job skills.
You analyze processes to determine areas for improvement.
You search for new methods, techniques, and processes that increase efficiency and reduce costs.
Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You delegate tasks effectively
You are ready to offer help
You keep staff informed about what is happening in the company
You take responsibility for things that go wrong
You set an example for others to follow
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You have strong technical/computer skills.
You complete reports on-time.
You are able to develop, justify and present a budget.
You take responsibility for decisions.
You are enthusiastic about taking on challenging projects.
Decision Making	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You determine the constraints that may impact what decisions are acceptable.
You exercise good judgment by making sound and informed decisions.
You have a good rapport other people which is helpful in making decisions on the team.
You learn from previous bad decisions and rarely repeat them.
I define what constraints must be met for the decision making process.
Interpersonal Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are open and approachable
You create an atmosphere that supports the open expression of ideas
You demonstrate willingness to work with others.
I take time to recognize the efforts of others.
You build a strong rapport with co-workers.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You hold yourself accountable to goals / objectives
You are a person others can trust.
You complete assigned work tasks.
You set a good example
You act as a resource without removing individual responsibility.

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

    -Excellent -Good -Average -Poor




52. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
53. 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?
    
    
    
54. What changes do you see [Company] making in order to raise the standards?
    
    
    
55. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
56. What do you like best about working for [Company]?
    
    
    
57. 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: