Performance - 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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Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...Produce Quality
Listens and responds to issues and problems
Sets a high standard for job performance.
Works well in this position.
Has great overall performance
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies the root cause of a problem.
Prioritizes various actions to be taken when solving a problem.
Identifies opportunities for progress and innovation.
Analyzes issues and reduces them to their component parts.
Uses appropriate techniques to solve problems.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Takes action without being asked.
Seeks and utilizes opportunities for continuous learning and self-development.
Takes the initiative to change the direction or course of events.
Immediately works to complete goals well before their deadline.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Suggests new ideas at meetings.
Challenges current procedures to develop other alternatives.
Offers constructive improvements to existing systems.
Searches for opportunities and innovative ways to improve the organization.
Implements best practices within the department.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works effectively in dynamic and changing work environments.
Learns from personal experiences and/or mistakes.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Able to work effectively with new people and new teams.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to focus on a task even when working alone.
Encourages commitment in others to obtain results.
Coordinates all department activities into a cohesive team effort.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Maintains persistence and dedication to achieving results.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Keeps accurate safety records.
Works to implement corrective safety measures.
Creates accurate and effective measures of safety.
Points out behaviors in others that may be unsafe.
Identifies predictable hazards in the workplace.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Builds alliances between departments and teams.
Seeks to reduce institutional roadblocks to information sharing.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Creates the conditions for partnerships to grow and develop.
Partners with peers to obtain influence within the Company.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is flexible in responses.
Able to adapt to changing situations.
Understands the expectations of other parties in the negotiation.
Able to clearly express thoughts and concerns.
Actively listens to conversations to be able to recall important details later.
Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to see issues from others' perspectives.
Treats others with respect and dignity.
Works effectively with people from other departments.
Constructively receives criticism and suggestions from others.
Works across boundaries within the organization.
Global Perspective	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Aligns personal vision with global strategies.
Can effectively deliver presentations to international clients.
Sets the example for team on importance of cultural awareness.
Demonstrates working knowledge of global transactions.
Applies knowledge of overseas markets.

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

    -Excellent -Good -Average -Poor




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


58. 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?
    
    
    


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


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


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


62. 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: