Action - 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 .

Action	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Gets the job done.
Is not afraid to take corrective action when necessary.
Does whatever it takes (within reason) to get the job done.
Works quickly when faced with difficult problems.
Effectively makes decisions
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?
Professional Development	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Encourages employees to take courses relevant to their job.
Allows employees to fully participate in employee training and professional development.
Seeks opportunities for professional development.
Seeks opportunities for continuous learning.
If [Participant Name] were to make improvements in Professional Development, what are your suggestions for how he/she can improve this?
Objectives	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Organizes and schedules events, activities, and resources.
Establishes goals and objectives.
Works toward achieving established goals and objectives.
Consistently provides me with timely feedback for improving my performance.
Effectively organizes resources and plans
If [Participant Name] were to make improvements in Objectives, what are your suggestions for how he/she can improve this?
Trustworthy	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Delivers on promises made.
Communicates an understanding of the other person's interests, needs and concerns.
Builds and maintains the trust of others.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Takes ownership, delivers on commitments
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?
Client Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Maintains strong relationships with clients.
Looks for opportunities that have a positive impact on Clients.
Satisfies client needs.
Ensures client commitments and requirements are met or exceeded
Is pro-active in dealing with clients and addressing their needs.
If [Participant Name] were to make improvements in Client Focus, what are your suggestions for how he/she can improve this?
Fiscal Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Monitors expenses and verifies the need for items purchased.
Effective in using Company's resources.
Develops budgets and plans for various programs and initiatives.
Provides budgeting and accounting support to the Company.
Develops of the department's annual budget.
If [Participant Name] 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 [Participant Name Here]'s assessment.