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
Takes action to respond to dissatisfied customer.
Overcomes obstacles that may impede progress on a task.
Takes the initiative to address problems sooner rather than later.
Works quickly to get the job done.
Takes corrective action when necessary.
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
Allows employees to fully participate in employee training and professional development.
Seeks opportunities for professional development.
Keep themselves up-to-date of technical/professional issues
Contributing fully to the extent of their skills
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
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
Consistently provides me with timely feedback for improving my performance.
Works toward achieving established goals and objectives.
Sets long-term and short-term goals.
Effectively organizes resources and plans
Encourages me to take on greater responsibility.
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
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Communicates an understanding of the other person's interests, needs and concerns.
Delivers on promises made.
Consistently keeps commitments.
Builds and maintains the trust of others.
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
Makes client's needs a top priority.
Addresses client complaints immediately.
Provides training to others on how to improve client service.
Responsive to client needs.
Satisfies client 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
Develops of the department's annual budget.
Provides budgeting and accounting support to the Company.
Monitors expenses and verifies the need for items purchased.
Keeps excellent records for financial transparency.
Develops budgets and plans for various programs and initiatives.
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.