Punctuality - 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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Punctuality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains an efficient schedule of activities.
Avoids making personal phone calls during working hours.
Arrives to meetings on time.
Starts meetings on time.
Conducts appointments at scheduled start time.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is proactive and takes steps to prepare for changes in the workplace.
Flexible and open to new ideas and encourages others to value change.
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.
Professional Development	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Quickly acquire and apply new knowledge and skills when needed
Allows employees to fully participate in employee training and professional development.
Seeks opportunities for continuous learning.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Encourages employees to take courses relevant to their job.
Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is ready to offer help
Delegate tasks effectively
Makes you feel enthusiastic about your work
Keep staff informed about what is happening in the company
Sets an example for others to follow
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements data validation techniques and methods.
Identifies opportunities for progress and innovation.
Selects the appropriate techniques for analysis.
Uses appropriate techniques to solve problems.
Asks the "right" questions to size up or evaluate situations.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements and uses performance measures.
Has strong technical/computer skills.
Able to develop, justify and present a budget.
Completes reports on-time.
Accurately implements contract provisions.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Searches for opportunities and innovative ways to improve the organization.
Builds upon the ideas and solutions of others.
Challenges current procedures to develop other alternatives.
Implements best practices within the department.
Creates a safe environment for idea-sharing.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Organizes and schedules events, activities, and resources.
Ability to establish realistic goals.
Assures [Company] principles are understood, employed & pursued.
Consistently provides me with timely feedback for improving my performance.
Able to organize work.
Empowering Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages others to obtain necessary skills and training.
Provides support and resources needed to accomplish goals.
Distributes the workload to subordinates.
Avoids micromanaging their employees.
Allows individuals to be responsible for their decisions.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates a work environment that fosters positive feedback to employees.
Creates opportunities for professional development.
Recognizes and celebrates accomplishments of others.
Supports the successes of other employees.
Tries to ensure employees are ready to move to the next level.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Tries to understand others' point of view before making judgments
Assists team members by helping them see the other point of view.
Discusses conflict situations with supervisor.
Clearly expresses expectations to others.
Helps employees to think through alternative ways to resolve conflict situations.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands the expectations of other parties in the negotiation.
Establishes clear communications to avoid misunderstandings.
Maintains good interpersonal relationships with representatives from the other party.
Stays calm and focuses on the core issues to be discussed.
Influences others through rational argument and persuasion.

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

    -Excellent -Good -Average -Poor




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


63. 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?
    
    
    


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


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


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


67. 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: