Achievement - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

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 .

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Achievement	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Increased production by 20 percent.
Is flexible in adjusting priorities to meet the demands of changing situations.
Sets challenging goals for the department.
Completed required training and certification.
Demonstrates a well-organized and timely approach to achieve desired results
Completed training on the new equipment.
Motivated to exceed performance goals.
Allocates resources as needed to accomplish organizational goals.
Uses established goals and performance measures to keep track of performance.
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?
Bias for Action	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Displays high energy and enthusiasm on consistent basis.
Motivates others to achieve or exceed goals
Completes work on time
Identifies ways to simplify work processes and reduce cycle times
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Conveys a sense of urgency about addressing problems and opportunities
If [Participant Name] were to make improvements in Bias for Action, what are your suggestions for how he/she can improve this?
Continual Improvement	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Looks for ways to expand current job responsibilities.
Open to the suggestions from others.
Looks for ways to expand and learn new job skills.
Analyzes processes to determine areas for improvement.
Promotes training and development opportunities to enhance job performance.
Looks for ways to improve work processes and procedures.
If [Participant Name] were to make improvements in Continual Improvement, what are your suggestions for how he/she can improve this?
Attitude	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Contributes to a positive and fun work environment.
Visibly supports and encourages diversity in style and background.
Works to eliminate unnecessary work or barriers that get in others' way.
Contributes to a positive work environment.
Builds open and trusting relationships.
Is gracious and professional in their interactions with others.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?
Regulatory/Compliance	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Performs regulatory risk management to manage the risks of compliance (or non-compliance).
Works quickly to implement changes in regulations.
Develops the appropriate incentives (or disincentives) for regulatory compliance.
Addresses issues quickly before they develop into major problems.
Periodically assesses the effectiveness of regulatory/compliance programs.
Formulates compliance policies and procedures.
If [Participant Name] were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?
Collaboration	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Uses group decision making.
Works with others to pool knowledge, ideas and resources to provide deeper insights into difficult issues.
Readily shares information with other group members.
Works to get buy-in of individuals based on common good of business.
Uses effective strategies to re-engage team members and secure their commitment to the business's common good.
Respects individual differences that contribute to solving problems.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Strategic Focus	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Understands the importance of developing strategic capabilities.
Makes sure employees understand the strategy and goals.
Focuses efforts on specific marketing strategies.
Creates a vision for the organization based on how the organization should appear in the future.
Lets employees know how their roles contribute toward the achievement of strategic company objectives.
Makes strategic decisions to optimize the returns on capital investments.
If [Participant Name] were to make improvements in Strategic Focus, what are your suggestions for how he/she can improve this?

46. Strengths
    
    
    
47. Areas for Development
    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.