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 successfully complete critical tasks within deadlines.
I am proactive in addressing important issues.
I avoid distractions from personal phone or other personal devices.
You tackle major issues head on to reduce the amount of time spent on them.
I consistently meet production deadlines.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You assure [Company] principles are understood, employed & pursued.
You communicate goals and objectives to employees.
You encourage others to take on greater responsibility.
You organize and schedules events, activities, and resources.
You effectively organize resources and plans
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You perform a wide range of tasks, respond to changes in direction and priorities and accept new challenges, responsibilities, and assignments.
You are able to adjust to changes as needed.
You adapt quickly to new situations.
You are able to quickly learn new ways of performing your job.
You work effectively with various personalities of team members.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
You analyze interpersonal problems instead of reacting to them.
You step away from a situation to process appropriate response.
You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
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 expand current job responsibilities.
You promote training and development opportunities to enhance job performance.
You encourage an employee culture of continuous improvement to seek out better ways of doing things.
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 are ready to offer help
You take responsibility for things that go wrong
You make others feel enthusiastic about your work
You set an example for others to follow
You keep staff informed about what is happening in the company
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are able to develop, justify and present a budget.
You accurately implement contract provisions.
You complete reports on-time.
You take responsibility for decisions.
You have a high attention to detail.
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 effectively choose appropriate courses of action.
You maintain focus on the "big picture" when making decisions.
I regularly evaluate information before making important decisions.
I am able to make decisions quickly.
Interpersonal Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You adapt management style to meet the needs of the individual or situation.
I offer constructive criticism to have a positive impact on performance.
You demonstrate good communication with colleagues and customers.
You communicate well at all levels of the organization.
I am transparent and honest in communications, intentions, and actions.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You complete assigned work tasks.
You are a person others can trust.
You set high personal standards of performance.
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: