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 keep and maintain a To-Do list.
I use time efficiently to achieve higher productivity.
I delegate tasks to free up time to focus on more important issues.
I stay undistracted by slower coworkers.
You manage inbox items promptly.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You communicate goals and objectives to employees.
You work toward achieving established goals and objectives.
You establish goals and objectives.
You encourage others to take on greater responsibility.
You are able to establish realistic goals.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You adjust plans or schedules to deal with changing situations.
You are aware of changes to the policies and procedures.
You adapt to novel, dynamic, and changing situations requiring creative solutions to new problems.
You respond quickly to new information.
You work well in periods of rapid change.
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 analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
You step away from a situation to process appropriate response.
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 look for ways to improve work processes and procedures.
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 search for new methods, techniques, and processes that increase efficiency and reduce costs.
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 define the roles, responsibilities, required actions, and deadlines for team members.
I identify key strategic factors, risks, and opportunities that impact the organization.
You drive on-time delivery of high-priority tasks.
You establish expected performance standards.
You ensure that negotiated agreements are implemented and monitored for compliance and effectiveness.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You implement automated or manual record management procedures/systems.
You provide assistance to others in obtaining passports, visas, and other international travel documents.
You use proper spelling, capitalization, punctuation, and grammar in written documents.
You record business transactions in a journal.
You inventory and document current supplies and resources.
Decision Making	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You establish critical limits (such as budget, timeline, compliance, or resource availability) before evaluating alternatives.
You view the long and short-term impact of decisions.
You connect unrelated concepts or data point to form innovative solutions that others may overlook.
You effectively choose appropriate courses of action.
You encourage creative problem-solving by treating constraints as design challenges rather than obstacles.
Interpersonal Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You strive to lead by example to demonstrate the value of interpersonal relationships.
I am thoughtful and honest about the feedback I give others.
You use knowledge and charisma rather than position, power, or coercion to influence others
I am a committed and reliable partner.
You demonstrate good communication with colleagues and customers.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You set a good example
You set a good example.
You are a person others can trust.
Your behavior is ethical and honest.
You work in a way that makes others want to work with you.

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: