Organizational Fluency- 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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Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Adept at navigating within the culture of the department.
Understands the current organizational culture.
Able to deal with sensitive issues with tact and professionalism.
Able to use corporate politics to advance department objectives.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Looks for opportunities to enhance contributions to the bottom line.
Able to decline a poor strategy by proposing alternate strategies.
Understands their role within the organization.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Accepts responsibility for mistakes.
Follows tasks to completion.
Fosters a high standard of ethics and integrity.
Demonstrates sincerity in actions with others.
Maintains strong relationships with others.
Feedback	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Actively seeks feedback from others.
Asks others for their ideas and opinions.
Seeks feedback to enhance performance.
Looks to others for input.
Is easy to approach with ideas and opinions.
Goals	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Goal Setting
Makes sure that I have a clear idea of our group's goals.
Understands & contributes to development of strategic goals.
Achieves established goals.
Makes sure that team members have a clear idea of our group's goals.
Interpersonal Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Comes across as credible, knowledgeable and sincere
Uses knowledge and charisma rather than position, power, or coercion to influence others
Demonstrates willingness to work with others.
Is a role model for others
Applies appropriate communication techniques to the situation.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Promotes the understanding of how the department affects the organization overall.
Collaborates with others to accomplish goals and objectives.
Maintains infrastructure to support partnerships and networks.
Creates value within the Company by building networks.
Capitalizes on partnerships and networks to enhance the Company's bottom line.

36. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




37. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    


38. 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?
    
    
    


39. What changes do you see [Company] making in order to raise the standards?
    
    


40. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    


41. What do you like best about working for [Company]?
    
    


42. 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: