Bias for Action - 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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Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Communicates clear goals, expectations, and timelines to ensure everyone is aligned and working towards the same objectives.
Works well with others to achieve common goals and leveraging diverse skills and perspectives.
Prioritizes tasks effectively, often choosing tasks that have the highest impact or urgency.
Concentrates on tasks single-mindedly until complete.
Has a strong internal motivation to achieve goals and make progress.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Promotes flexibility in approaches by encouraging employees to think outside the box and experiment with new methods and ideas.
Capable of delivering a diverse range of goods and services to meet various business requirements.
Embraces issues as opportunities to learn and grow.
Able to make changes to their leadership style after receiving constructive feedback through the performance review.
Can seamlessly transition between various environments and situations.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Willing to change priorities as needed to reach consensus.
Changes decision-making processes and strategies as needed.
Able to work effectively with new people and new teams.
Able to work within uncertain environments.
Adapts to work successfully in a wide variety of situations and with a variety of coworkers.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Shown significant improvement in job performance.
...Produce Quality
Works effectively in the department.
Effective in performing his/her job.
Effectively organizes resources and plans
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Uses data analytics to identify patterns and trends that may indicate emerging issues.
Analyzes systems and processes for opportunities to gain efficiency.
Understands the root causes of problems.
Solves problems that require several different criteria or constraints.
Involves the department in the problem-solving process to foster a sense of collective responsibility and investment in the outcome.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Quickly comes to the aid of those who may need help.
Takes corrective action to rectify issues.
When working on a problem in a team, they are often the first to suggest possible solutions.
Launches initiatives that measurably improve team performance, efficiency, or morale.
Capitalizes on opportunities as they become available.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Proactively identifies when others need assistance and offers help without being asked.
Adjusts plans based on performance trends, stakeholder feedback, or changing conditions.
Follows up on service delivery to confirm expectations were met or exceeded.
Maintains optimism during high-pressure situations, helping others stay grounded.
Assigns responsibilities based on individual strengths and developmental goals.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Builds collaborative relationships by honoring cultural norms and interpersonal boundaries.
Actively listens to diverse viewpoints without judgment or dismissal.
Recognizes how cultural context influences employee motivation, communication, and collaboration.
Promotes culturally respectful partnerships with external stakeholders and global teams.
Develops skills and attitudes to bridge cultural differences.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops key business relationships with clients/customers.
Develops key business contacts at other companies.
Exchanges innovative ideas with others in the network.
Can perform a SWOT analyses (Strengths, Weaknesses, Opportunities, Threats) of the partnership's potential outcomes.
Builds alliances between departments and teams.

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: