Accountability - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

is administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Accountability	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Always keeps the supervisor informed of relevant information.
Keeps supervisor informed of recent events.
Requires employees to submit monthly reports of the work they performed.
Makes sure the supervisor is always informed of any important events.
Honors the commitments and promises made to customers/clients.
If [Participant Name] were to make improvements in Accountability, what are your suggestions for how he/she can improve this?
Self Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Does not allow own emotions to interfere with the performance of others.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Steps away from a situation to process appropriate response.
Analyzes interpersonal problems instead of reacting to them.
If [Participant Name] were to make improvements in Self Management, what are your suggestions for how he/she can improve this?
Professional Development	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Contributing fully to the extent of their skills
Seeks opportunities for professional development.
Allows employees to fully participate in employee training and professional development.
Encourages employees to take courses relevant to their job.
Quickly acquire and apply new knowledge and skills when needed
If [Participant Name] were to make improvements in Professional Development, what are your suggestions for how he/she can improve this?
Excellence	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Demonstrates the analytical skills to do their job.
Keeps themselves and others focused on constant improvement.
Takes a lot of pride in their work.
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?
Regulatory/Compliance	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Maintains compliance with federal, state, and local laws.
Knows who to contact at various regulatory agencies if needed.
Is aware of federal and local laws affecting employees.
Complies with trade agreements affecting international companies.
Provides documents and reports as needed to maintain compliance with laws.
If [Participant Name] were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?
Client Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Gets feedback from the client on a weekly basis.
Is consistent in services provided to clients.
Anticipates potential obstacles to meeting client needs.
Takes the initiative in solving difficult client issues.
Is above average in addressing the needs of the clients.
If [Participant Name] were to make improvements in Client Focus, what are your suggestions for how he/she can improve this?
Strategic Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Creates a SWOT matrix to help analyze data.
Crafts and executes strategies to advance the company.
Creates a strategy to achieve departmental objectives.
Ensures adherence to the strategy to sustain achievement of targeted levels of organizational performance.
Maintains a strategic focus on external factors impacting the success of the company.
If [Participant Name] were to make improvements in Strategic Focus, what are your suggestions for how he/she can improve this?

36. Strengths
    
    
    
37. Areas for Development
    
    
    
38. Please give any final comments or suggestions for [Participant Name Here]'s assessment.