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.
Demonstrates congruence between statements and actions.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Consistently keeps commitments.
Demonstrates a sense of responsibility and commitment to public trust.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Steps away from a situation to process appropriate response.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Consciously controls own negative emotions in order to keep team morale up.
Uses patience and self-control in working with customers and associates.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Punctuality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Starts meetings on time.
Arrives to meetings on time.
Invoices clients on a timely basis.
Responds to requests for information in a timely manner.
Maintains an efficient schedule of activities.
Attitude	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works to eliminate unnecessary work or barriers that get in others' way.
Contributes to a positive work environment.
Visibly supports and encourages diversity in style and background.
Shows by their actions that they trust in the positive intentions of others.
Builds open and trusting relationships.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Organizes, plans, and directs resources to accomplish the goals and objectives.
Regularly reviews project performance and goals.
Defines project outcomes based on customer requirements.
Develops action items, workplans, timelines, and criteria for projects.
Inspires others to accomplish goals and objectives.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops strong customer relationships.
Maintains positive customer relationships.
Consistently models positive customer service attitudes.
Ensures all customer commitments and requirements are met or exceeded.
Does not hesitate to address customer concerns or complaints.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Clearly expresses expectations to others.
Tries to understand others' point of view before making judgments
Helps employees to think through alternative ways to resolve conflict situations.
Deals effectively with employee grievances.
Assists team members by helping them see the other point of view.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements long-term solutions to problems.
Identifies potential problems before they become critical incidents.
Analyzes unique issues or problems impacting the Company.
Analyzes records and reports to obtain insight into potential issues and trends.
Identifies root causes of problems.
Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands the current organizational culture.
Able to explain departmental policies and procedures to others.
Adept at navigating within the culture of the department.
Anticipates problems that may affect the department.
Able to deal with sensitive issues with tact and professionalism.

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: