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
Works in a way that makes others want to work with her/him.
Takes ownership, delivers on commitments
Is trustworthy; is someone I can trust.
Delivers on promises made.
Is a person you can trust.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Analyzes interpersonal problems instead of reacting to them.
Consciously controls own negative emotions in order to keep team morale up.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Steps away from a situation to process appropriate response.
Punctuality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Arrives to meetings on time.
Avoids making personal phone calls during working hours.
Starts the workday when scheduled.
Starts meetings on time.
Conducts appointments at scheduled start time.
Attitude	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes time to polish presentations, communications, or reports, ensuring they reflect professionalism and clarity.
Listens actively to others without interrupting or dismissing their contributions.
Maintains a high self-esteem and sense of worth within the organization.
Works to eliminate unnecessary work or barriers that get in others' way.
Shows genuine interest in the well-being of colleagues, beyond work performance.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Determines the correct order for the phases of the project.
Establishes the sequence of steps needed to complete the project.
Identifies the potential risks for each phase of the project.
Determines the roles for project team members.
Changes the implementation of specific phases of the project to mitigate certain risks.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Focuses on providing excellent customer service.
Helps customers to feel satisfied with our work/services.
Gives feedback to the customer regularly.
Helps others in responding to customer needs.
Makes sure team members understand the issues faced by the customer.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Combines different ideas and viewpoints.
Seeks to maintain positive relationships with coworkers.
Anticipates where bottlenecks or competing priorities may cause tension and adjusts systems accordingly.
Uses storytelling or analogies to reframe perspectives and soften resistance to change.
Uses logic and reasoning to determine the best course of action for resolving the conflict.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes unique issues or problems impacting the Company.
Formulates policies and strategies for addressing the Company's important challenges.
Notices inefficiencies or bottlenecks in workflows before they escalate into larger issues.
Identifies opportunities for innovation by watching how employees adapt tools, processes, or customer interactions.
Identifies potential problems before they become critical incidents.
Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effective in communicating with others within the organization.
Gets things done through the department.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Anticipates problems that may affect the department.
Able to use corporate politics to advance department objectives.

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: