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
Communicates the vision and strategy of [Company]
Expresses the Company vision in a way that is easily understood and adopted by employees.
Works to support the strategy of [Company]
Creates a positive vision of the future for the Company.
Demonstrates consistency between words and actions
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Exhibits determination and passion in completion of goals.
Is comfortable operating in an environment of uncertainty.
Encourages dynamic growth opportunities.
Finds unique ways to go around barriers to success.
Devotes a certain amount of time and effort to developing new business opportunities.
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 and learn new job skills.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Promotes training and development opportunities to enhance job performance.
Analyzes processes to determine areas for improvement.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Oversees the work of a group of employees.
Reviews performance against established measures.
Provides useful and constructive feedback to employees.
Is respectful toward employees.
Identifies and maximizes opportunities for continuing education for employees.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effectively uses subordinates to help get more work done by the department.
Avoids spending time on non-work related activities.
Orders tasks based on impact and urgency.
Tackles major issues head on to reduce the amount of time spent on them.
Keeps accurate records of time spent on projects for proper billing.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports the Company's efforts to implement changes.
Works cooperatively with others to implement changes.
Assists others in understanding changes to the organization.
Is an inspiration for others to accept the recent changes.
Able to get department employees to accept new changes.
Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is knowledgeable of procedures or systems necessary for the job.
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.
Seeks information from others as needed.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Holds herself / himself accountable to goals / objectives
Sets a good example.
Sets a good example
...takes personal responsibility for results.
Behavior is ethical and honest.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Discusses conflict situations with supervisor.
Clearly expresses expectations to others.
Tries to understand others' point of view before making judgments
Identifies and takes steps to prevent potential confrontations.
Deals effectively with employee grievances.

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: