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
Envisions and articulates a clear path for the department's growth over the next year.
Is aware of their own actions and how that impacts the department.
Articulates a vision for the department that is aligned with the division/company's vision.
Committed to undertaking the implementation of the strategic vision.
Formulates strategies that reflect a shared vision for the organization.
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is comfortable operating in an environment of uncertainty.
Maintains a high level of energy to respond to demands of the job.
Excellent at managing relationships with stakeholders.
Able to adapt the department to changing business demands and climate.
Can work effectively in an environment of uncertainty.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes processes to determine areas for improvement.
Looks for ways to expand current job responsibilities.
Promotes training and development opportunities to enhance job performance.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Looks for ways to expand and learn new job skills.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Instructs employees on the safest way to perform tasks.
Listens to the concerns of employees.
Values the opinions of subordinates.
Ensures employees know what they need to complete during the shift.
Oversees employees to make sure their work is performed up to standard.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works quickly to keep on schedule.
Able to get the important jobs done on time.
Sets clearly defined goals.
Starts meetings on time.
Implements automation wherever possible.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Inspires others to want to change.
Supports the Company's efforts to implement changes.
Adopts changes to set and example for others to follow.
Develops plans for following through on the changes.
Able to get team members to change their attitudes.
Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Willingly shares information and expertise; sought out as resource by others
Seeks information from others as needed.
Is knowledgeable of procedures or systems necessary for the job.
Knows how to produce high quality products/work.
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets high personal standards of performance.
Sets a good example
Holds herself / himself accountable to goals / objectives
Sets a good example.
Is a person you can trust.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Attentively hears each person as they share their distinct viewpoints on the matter.
Achieves mutually acceptable solutions through collaborative efforts by both parties.
Avoids conflicts over minor issues.
Tries to understand others' point of view before making judgments
Initates collaborative processes to reduce conflict.

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: