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
Develops action plans to align his/her work with the goals of the organization
Leads employees in new directions.
Persuades others to follow the Company's vision.
Behaves in a way that is consistent with business values & code of conduct
Understands the vision of the Company and promotes it ahead of any self-interests.
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Devotes a certain amount of time and effort to developing new business opportunities.
Excellent at managing relationships with stakeholders.
Has a strategic awareness on how to promote the organization.
Able to adapt the department to changing business demands and climate.
Exhibits determination and passion in completion of goals.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Looks for ways to expand current job responsibilities.
Looks for ways to improve work processes and procedures.
Open to the suggestions from others.
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
Promotes teamwork and cooperation within the department.
Provides constructive, ongoing feedback.
Treats all staff equitably.
Resolves personnel problems quickly and effectively.
Is aware of the unique strengths of each employee.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes high-priority work within required timelines.
Does not become flustered by deadlines and timelines.
Leaves time in the schedule for unplanned contingencies.
Makes time for developing plans and schedules.
Sets a good balance between work and family life.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adopts changes to set and example for others to follow.
Assists others in understanding changes to the organization.
Effective in dealing with ambiguous and challenging situations.
Works cooperatively with others to implement changes.
Supports the Company's efforts to implement changes.
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
Willingly shares his/her technical 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.
Knows how to produce high quality products/work.
Is knowledgeable of procedures or systems necessary for the job.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes assigned work tasks.
Works in a way that makes others want to work with her/him.
Responsible for setting the vision of the department.
Acts as a resource without removing individual responsibility.
Holds herself / himself accountable to goals / objectives
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies and takes steps to prevent potential confrontations.
Clearly expresses expectations to others.
Assists team members by helping them see the other point of view.
Helps employees to think through alternative ways to resolve conflict situations.
Tries to understand others' point of view before making judgments

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: