Trustworthy - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

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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Trustworthy	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is trustworthy; is someone I can trust.
Consistently keeps commitments.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Demonstrates a sense of responsibility and commitment to public trust.
Delivers on promises made.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Does not allow own emotions to interfere with the performance of others.
Analyzes interpersonal problems instead of reacting to them.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Punctuality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Conducts appointments at scheduled start time.
Invoices clients on a timely basis.
Starts meetings on time.
Starts the workday when scheduled.
Avoids making personal phone calls during working hours.
Attitude	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Visibly supports and encourages diversity in style and background.
Treats all people fairly and with respect.
Shows by their actions that they trust in the positive intentions of others.
Works to eliminate unnecessary work or barriers that get in others' way.
Builds open and trusting relationships.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Responds quickly and appropriately to unforeseen problems.
Anticipates potential problems and institutes controls and contingency plans to address them.
Inspires others to accomplish goals and objectives.
Organizes work and sets priorities as needed.
Defines project outcomes based on customer requirements.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies the core needs of the customer.
Is focused on improving customer services.
Focuses on providing excellent customer service.
Provides a responsive service that meets the needs of customers.
Addresses customer complaints immediately.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Assists team members by helping them see the other point of view.
Tries to understand others' point of view before making judgments
Identifies and takes steps to prevent potential confrontations.
Helps employees to think through alternative ways to resolve conflict situations.
Discusses conflict situations with supervisor.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Communicates vision for the department and company.
Anticipates business cycles and trends and makes adjustments in a timely manner.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Creates strategies that significantly benefit the Company.
Analyzes records and reports to obtain insight into potential issues and trends.
Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands departmental policies and procedures.
Anticipates problems that may affect the department.
Able to deal with sensitive issues with tact and professionalism.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Able to explain departmental policies and procedures to others.

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

    -Excellent -Good -Average -Poor




47. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    


48. 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?
    
    
    


49. What changes do you see [Company] making in order to raise the standards?
    
    


50. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    


51. What do you like best about working for [Company]?
    
    


52. 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: