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
Builds and maintains the trust of others.
Is a person you can trust.
Demonstrates a sense of responsibility and commitment to public trust.
Demonstrates congruence between statements and actions.
Works in a way that makes others want to work with her/him.
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.
Steps away from a situation to process appropriate response.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
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
Maintains an efficient schedule of activities.
Avoids making personal phone calls during working hours.
Conducts appointments at scheduled start time.
Arrives to meetings on time.
Starts the workday when scheduled.
Attitude	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Contributes to a positive and fun work environment.
Visibly supports and encourages diversity in style and background.
Works to eliminate unnecessary work or barriers that get in others' way.
Contributes to a positive work environment.
Builds open and trusting relationships.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Correctly estimates the cost of supplies for the project.
Monitors finances to ensure optimal use of project funds.
Locates the equipment and supplies needed for the project.
Ensures that the project remains at or under budget.
Effective at using video conferencing software to manage remote teams.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...friendliness and courtesy
Builds products that meet the unique needs of each customer.
Is focused on improving customer services.
Responds to feedback from customers.
Responsive to customer needs.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Promotes employee engagement to reduce tensions and negativity, creating an environment where conflicts are easily managed.
Seeks to achieve mutually acceptable outcomes.
Facilitates collaborative processes to reduce conflict.
Is responsive to contentious issues.
Persuades others to accept ideas that may be difficult and uncomfortable.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops a strategic vision for the future.
Identifies potential problems before they become critical incidents.
Pursues strategic alliances with valued partners.
Observes employees at work to get better insight into the issues they are dealing with.
Develops a plan and strategy for each functional area within the mission statement.
Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to deal with sensitive issues with tact and professionalism.
Understands the current organizational culture.
Anticipates problems that may affect the department.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Gets things done through the department.

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: