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.
Takes ownership, delivers on commitments
Is trustworthy; is someone I can trust.
Delivers on promises made.
Consistently keeps commitments.
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 own reactions on the spot to ensure that communication does not appear to be driven by anger.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Steps away from a situation to process appropriate response.
Consciously controls own negative emotions in order to keep team morale up.
Punctuality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Responds to requests for information in a timely manner.
Conducts appointments at scheduled start time.
Invoices clients on a timely basis.
Starts meetings on time.
Maintains an efficient schedule of activities.
Attitude	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is gracious and professional in their interactions with others.
Shows by their actions that they trust in the positive intentions of others.
Treats all people fairly and with respect.
Works to eliminate unnecessary work or barriers that get in others' way.
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.
Presents clear and accurate status information to required constituents.
Acquires and allocates internal and external resources needed for the project.
Organizes, plans, and directs resources to accomplish the goals and objectives.
Creates a vision for execution of the project to ensure coordination across all teams.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains strong relationships with customers.
Ensures commitments made to customers are completed to the customer's satisfaction.
Is aware of expectations from customers.
Is available to respond to customer needs.
Keeps the customer informed of all progress.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Assists team members by helping them see the other point of view.
Tries to understand others' point of view before making judgments
Deals effectively with employee grievances.
Discusses conflict situations with supervisor.
Clearly expresses expectations to others.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Anticipates business cycles and trends and makes adjustments in a timely manner.
Develops a plan and strategy for each functional area within the mission statement.
Communicates with employees to find out their needs.
Creates strategies that significantly benefit the Company.
Analyzes unique issues or problems impacting the Company.
Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effective in communicating with others within the organization.
Able to use corporate politics to advance department objectives.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Able to explain departmental policies and procedures to others.
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: