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
Delivers on promises made.
Builds and maintains the trust of others.
Consistently keeps commitments.
Is a person you can trust.
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
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Steps away from a situation to process appropriate response.
Analyzes interpersonal problems instead of reacting to them.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Punctuality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Invoices clients on a timely basis.
Conducts appointments at scheduled start time.
Responds to requests for information in a timely manner.
Starts the workday when scheduled.
Arrives to meetings on time.
Attitude	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Builds open and trusting relationships.
Shows by their actions that they trust in the positive intentions of others.
Visibly supports and encourages diversity in style and background.
Contributes to a positive work environment.
Works to eliminate unnecessary work or barriers that get in others' way.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Estimates the staffing requirements for the project.
Interacts with stakeholders regarding the outcomes required by the project.
Develops action items, workplans, timelines, and criteria for projects.
Accurately determines the number of staff needed for the project.
Researches potential solutions to meet the constraints of the project.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Attends to the customer's needs in addition to the specific needs of the project.
Is honest in all communication with the customers.
Consistently models positive customer service attitudes.
Is competent in handling customer cases.
Takes the initiative in solving difficult customer issues.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Establishes roles and responsibilities.
Helps others to see perceptions that they have about an issue.
Facilitates dialog between stakeholders.
Deals effectively with employee grievances.
Addresses contentious issues earlier rather than later.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops a strategic vision for the future.
Recognizes the needs of customers.
Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
Ensures that the department's goals are strategically aligned with the company's goals.
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
Anticipates problems that may affect the department.
Understands departmental policies and procedures.
Gets things done through 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.

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: