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.
Takes care to maintain confidential information.
Communicates an understanding of the other person's interests, needs and concerns.
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
Uses patience and self-control in working with customers and associates.
Consciously controls own negative emotions in order to keep team morale up.
Analyzes interpersonal problems instead of reacting to them.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
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
Responds to requests for information in a timely manner.
Invoices clients on a timely basis.
Conducts appointments at scheduled start time.
Avoids making personal phone calls during working hours.
Starts the workday when scheduled.
Attitude	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Builds open and trusting relationships.
Works to eliminate unnecessary work or barriers that get in others' way.
Treats all people fairly and with respect.
Visibly supports and encourages diversity in style and background.
Contributes to a positive and fun work environment.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Accurately determines the number of staff needed for the project.
Responds quickly and appropriately to unforeseen problems.
Ensures the project is executed on time and on budget.
Communicates with the teams often to ensure that the deadlines are met.
Defines project outcomes based on customer requirements.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Considers customers point of view when making decisions.
Has received good feedback from customers.
Thoroughly understands the needs of the customer.
Understands the needs of the customer.
Exceeds expectations of the customers.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sees conflicts as chances to develop innovative and effective solutions.
Avoids being judgmental and micromanaging of employees.
Able to settle disputes equitably.
Combines different ideas and viewpoints.
Creates an environment where team members work collaboratively rather than compete with one another.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Recognizes the needs of customers.
Maintains knowledge of current trends in the industry.
Identifies root causes of problems.
Attends industry conferences to gain further insight into how other companies deal with similar issues.
Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
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 the current organizational culture.
Able to explain departmental policies and procedures to others.
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: