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
Persuades others to follow the Company's vision.
Understands the vision of the Company and promotes it ahead of any self-interests.
Communicates a vision of where the Company needs to be in the future.
Creates a common vision for others.
Clearly articulates a vision for his/her work and inspires others to support it
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Can work effectively in an environment of uncertainty.
Understands the processes and various stages of business development.
Has a strategic awareness on how to promote the organization.
Devotes a certain amount of time and effort to developing new business opportunities.
Is comfortable operating in an environment of uncertainty.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
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.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Open to the suggestions from others.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains a calm demeanor when addressing stressful issues in the workplace.
Provides constructive, ongoing feedback.
Demonstrates exemplary work performance that others should follow.
Enhances teamwork through good supervision.
Communicates effectively with employees.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Avoids distractions in the workplace.
Prioritizes tasks to identify immediate and long-term objectives.
Leaves time in the schedule for unplanned contingencies.
Uses agendas when chairing or facilitating meetings.
Makes time for developing plans and schedules.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works cooperatively with others to implement changes.
Is a leading force driving changes.
Effective in implementing new organizational vision and values.
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 his/her technical expertise; sought out as resource by others
Seeks information from others as needed.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
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.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets a good example
Sets a good example.
...takes personal responsibility for results.
Acts as a resource without removing individual responsibility.
Is a person you can trust.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps employees to think through alternative ways to resolve conflict situations.
Deals effectively with employee grievances.
Tries to understand others' point of view before making judgments
Clearly expresses expectations to others.
Assists team members by helping them see the other point of view.

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: