Achievement - 360 Degree Feedback Survey Sample #1

Instructions:

The is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses, and will be not making any changes, click the Complete button.

Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between and . 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

Achievement	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Completes work to given time frame and to budget
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Follows-up and takes action when goals are not met to ensure better results in the future.
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Systematically works to improve the organization
If were to make improvements in Achievement, what are your suggestions for how he/she can improve this?
Interpersonal Skills	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Creates an atmosphere that supports the open expression of ideas
Strives for win/win solutions
Is open and approachable
Applies appropriate communication techniques to the situation.
Able to work with individuals at all levels of the Company.
If were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?
Coaching	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Provides clear, motivating, and constructive feedback.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Develops the skills and capabilities of others.
Conducts regular performance appraisals and feedback.
Meets regularly with employees to coach them on areas that will enhance their performance
If were to make improvements in Coaching, what are your suggestions for how he/she can improve this?
Entrepreneurship	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Finds unique ways to go around barriers to success.
Excellent at managing relationships with stakeholders.
Devotes a certain amount of time and effort to developing new business opportunities.
Encourages risk taking for developing potential business opportunities.
Able to adapt the department to changing business demands and climate.
If were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?
Action	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Does whatever it takes (within reason) to get the job done.
Makes effective decisions, even when under pressure.
Motivates & supports others to gain skills
Displays high energy and enthusiasm on consistent basis.
Is not afraid to take corrective action when necessary.
If were to make improvements in Action, what are your suggestions for how he/she can improve this?
Continual Learning	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Builds on their strengths while addressing their weaknesses.
Shares best practices with others and learns from others.
Sets relevant learning objectives and goals.
Grasps new ideas, concepts, technical, or business knowledge.
Pursues self-improvement through continual learning.
If were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?
Adaptability	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Flexible and open to new ideas and encourages others to value change.
Is flexible and open minded in dealing with others.
Able to quickly learn new ways of performing their job.
Works effectively in dynamic and changing work environments.
Learns from personal experiences and/or mistakes.
If were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?
Leadership	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Effectively leads others.
Demonstrates leadership and courage in critical situations.
Acts decisively in implementing decisions.
Takes ownership and accountability for results
Highly effective supervisor.
If were to make improvements in Leadership, what are your suggestions for how he/she can improve this?
Decision Making	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Does not lose sight of the big picture when making decisions
Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
Seeks input from key people who should be involved in, or will be affected by, decisions
Asks for additional information when making critical decisions.
Exercises good judgment by making sound and informed decisions.
If were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?

46. What are 's greatest strengths demonstrated this year?
    
    
    
47. What are 's areas for development?
    
    
    
48. Please give any final comments or suggestions for 's assessment.