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
You prioritize new tasks according to your relative importance.
You focus on tasks that have high priority.
You do not procrastinate.
You prioritize tasks to identify immediate and long-term objectives.
You avoid distractions in the workplace.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You establish goals and objectives.
You encourage others to take on greater responsibility.
You are able to organize work.
You communicate goals and objectives to employees.
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 adjust to new plans and procedures.
You work effectively with various personalities of team members.
You respond quickly to new information.
You are flexible and open minded in dealing with others.
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 consciously control own negative emotions in order to keep team morale up.
You step away from a situation to process appropriate response.
You analyze interpersonal problems instead of reacting to them.
You use patience and self-control in working with customers and associates.
You deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are open to the suggestions from others.
You look for ways to improve work processes and procedures.
You promote training and development opportunities to enhance job performance.
You analyze processes to determine areas for improvement.
You look for ways to expand and learn new job skills.
Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You keep staff informed about what is happening in the company
You make others feel enthusiastic about your work
You are ready to offer help
You take responsibility for things that go wrong
You delegate tasks effectively
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You implement and use performance measures.
You take responsibility for decisions.
You have strong technical/computer skills.
You have a high attention to detail.
You are enthusiastic about taking on challenging projects.
Decision Making	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I am able to learn from my mistakes.
You are willing to consider information from other sources.
You weigh the pros and cons of decisions.
You view the long and short-term impact of decisions.
I perform a cost/benefit analysis before making a decision.
Interpersonal Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You demonstrate willingness to work with others.
You adapt management style to meet the needs of the individual or situation.
You are a role model for others
You effectively manage conflicts by dealing with them directly and immediately
You strive for win/win solutions
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You set a good example
You take personal responsibility for results.
You hold yourself accountable to goals / objectives
You are responsible for setting the vision of the department.
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: