Vision- 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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Vision	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Skilled in developing and realizing a comprehensive organizational vision.
Develops and executes a strategic vision for the organization.
Communicates a vision of where the Company needs to be in the future.
Identifies problems and crafts solutions.
Defines an ideal image for what the department should look like in the future.
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Exhibits determination and passion in completion of goals.
Encourages risk taking for developing potential business opportunities.
Understands the processes and various stages of business development.
Encourages dynamic growth opportunities.
Has a strategic awareness on how to promote the organization.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes processes to determine areas for improvement.
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand and learn new job skills.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Looks for ways to expand current job responsibilities.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Offers instructions and guidance to subordinates.
Effectively uses rewards to help motivate employees.
Empowers employees to perform the assigned tasks.
Completes assessments in a timely manner.
Provides clear expectations of outcomes during performance reviews.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Integrates automation into the process whenever feasible.
Focuses on tasks that have high priority.
Determines which tasks need to be completed urgently.
Is prompt and diligent in their work.
Proactively addresses crucial matters.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops a strategy for implementing changes.
Develops plans for following through on the changes.
Inspires others to accept changes.
Works cooperatively with others to implement changes.
Effective in implementing new organizational vision and values.
Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrates mastery of the technical competencies required in his/her work.
Willingly shares information and expertise; sought out as resource by others
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Seeks information from others as needed.
Willingly shares his/her technical expertise; sought out as resource by others
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets a good example.
Responsible for setting the vision of the department.
Acts as a resource without removing individual responsibility.
Completes assigned work tasks.
Behavior is ethical and honest.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Attempts to determine the root sources of grievances.
Seeks to achieve mutually acceptable outcomes.
Is supportive of consensus and power sharing.
Deals effectively with employee grievances.
Works with others as needed to facilitate resolution of conflicts.

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: