Action - 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 .

Action	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Works quickly when faced with difficult problems.
Drives and mobilizes others progress toward goals.
Effectively makes decisions
Displays high energy and enthusiasm on consistent basis.
Motivates & supports others to gain skills
If 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
Contributing fully to the extent of their skills
Seeks opportunities for professional development.
Quickly acquire and apply new knowledge and skills when needed
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Encourages employees to take courses relevant to their job.
If 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
Establishes goals and objectives.
Encourages me to take on greater responsibility.
Works toward achieving established goals and objectives.
Consistently provides me with timely feedback for improving my performance.
Sets long-term and short-term goals.
If 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
Works in a way that makes others want to work with her/him.
Builds and maintains the trust of others.
Demonstrates a sense of responsibility and commitment to public trust.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Demonstrates congruence between statements and actions.
If 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.
Obtains feedback to ensure client needs are being met.
Is pro-active in dealing with clients and addressing their needs.
Ensures client commitments and requirements are met or exceeded
Satisfies client needs.
If 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 budgets and plans for various programs and initiatives.
Ensures others follow the correct rules and regulations on fiscal matters.
Monitors spending.
Effective in using Company's resources.
Monitors expenses and verifies the need for items purchased.
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.