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
Demonstrates a sense of responsibility and commitment to public trust.
Is a person you can trust.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Delivers on promises made.
Is trustworthy; is someone I 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.
Uses patience and self-control in working with customers and associates.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Does not allow own emotions to interfere with the performance of others.
Analyzes interpersonal problems instead of reacting to them.
Punctuality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Invoices clients on a timely basis.
Arrives to meetings on time.
Avoids making personal phone calls during working hours.
Starts meetings on time.
Responds to requests for information in a timely manner.
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.
Builds open and trusting relationships.
Treats all people fairly and with respect.
Contributes to a positive and fun work environment.
Visibly supports and encourages diversity in style and background.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies critical requirements for each phase of the project.
Conducts a risk assessment for each phase of the project.
Plans who, when, and what work needs to get done.
Uses appropriate software tools to assist in managing the project.
Establishes the sequence of steps needed to complete the project.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Actively listens to concerns from customers.
Gives feedback to the customer regularly.
Anticipates problems that the customer may encounter.
Exceeds expectations of the customers.
Competent in managing customer projects.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ensures that both parties work toward finding compromise.
Values the diverse perspectives of others.
Seeks to maintain positive relationships with coworkers.
Encourages individuals to modify their underlying work behaviors that may have contributed to the conflict.
Identifies strategies to prevent the recurrence of issues.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops a strategic vision for the future.
Converses with customers and clients to get a better insight into their personal needs.
Works with others to develop insights into the resources and actions required to produce desired results.
Analyzes records and reports to obtain insight into potential issues and trends.
Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adept at navigating within the culture of the department.
Understands departmental policies and procedures.
Gets things done through the department.
Effective in communicating with others within the organization.
Anticipates problems that may affect 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: