Achievement - 360 Degree Feedback Survey Sample #7

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 and .

Achievement	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Follows-up and takes action when goals are not met to ensure better results in the future.
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Completes work to given time frame and to budget
Set high standards in their performance
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
If were to make improvements in Achievement, what are your suggestions for how he/she can improve this?
Excellence	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Can be counted on to add value wherever they are involved.
Produces high quality work.
Demonstrates the functional or technical skills necessary to do their job.
Takes a lot of pride in their work.
Is planful and organized.
If were to make improvements in Excellence, what are your suggestions for how he/she can improve this?
Trustworthy	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is a person you can trust.
Builds and maintains the trust of others.
Is trustworthy; is someone I can trust.
Takes care to maintain confidential information.
Consistently keeps commitments.
If were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?
Self Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Uses patience and self-control in working with customers and associates.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Does not allow own emotions to interfere with the performance of others.
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.
If were to make improvements in Self Management, what are your suggestions for how he/she can improve this?
Developing Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Supports the successes of other employees.
Assigns tasks and responsibilities to develop skills of others.
Assesses employees' developmental needs.
Sets performance objectives for subordinates that encourages development opportunities.
Provides constructive feedback to others.
If were to make improvements in Developing Others, what are your suggestions for how he/she can improve this?
Fiscal Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Effective in using Company's resources.
Develops of the department's annual budget.
Monitors spending.
Keeps excellent records for financial transparency.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
If were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?

31. Strengths
    
    
    
32. Areas for Development
    
    
    
33. Please give any final comments or suggestions for 's assessment.