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 use a journal, log, or schedule to keep track of how much time is spent doing each task.
I persist with crucial assignments.
I avoid spending time on non-work related activities.
I efficiently use time available.
I adhere to project timelines.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You encourage others to take on greater responsibility.
You consistently provide me with timely feedback for improving my performance.
You effectively organize resources and plans
You work toward achieving established goals and objectives.
You communicate goals and objectives to employees.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You are effective in working with different personnel of the team.
You adapt quickly to new situations.
You are able to adjust to the new vision and mission of the company.
You are aware of changes in the environment.
You are able to recognize the potential benefits of change, and create an infrastructure which supports change.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You do not allow own emotions to interfere with the performance of others.
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 consciously control own negative emotions in order to keep team morale up.
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 look for ways to improve work processes and procedures.
You promote training and development opportunities to enhance job performance.
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 take responsibility for things that go wrong
You make others feel enthusiastic about your work
You keep staff informed about what is happening in the company
You set an example for others to follow
You delegate tasks effectively
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You take responsibility for decisions.
You implement and use performance measures.
You are able to develop, justify and present a budget.
You are enthusiastic about taking on challenging projects.
You have a high attention to detail.
Decision Making	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
I facilitate meetings with others to try to consider alternative courses of action.
I define what constraints must be met for the decision making process.
You view the long and short-term impact of decisions.
You maintain focus on the "big picture" when making decisions.
I am open to listening to others who may have different ideas.
Interpersonal Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You understand the core issues of conversations.
You are respectful of the opinions and ideas of others.
I take time to recognize the efforts of others.
You attend to both the content and the context of what was being said.
You provide constructive feedback in a way that fosters acceptance and development.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
You set a good example
Your behavior is ethical and honest.
You hold yourself accountable to goals / objectives
You work in a way that makes others want to work with you.
You set high personal standards of performance.

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: