Attitude - 360 Degree Feedback Survey Sample #1

Instructions:

The is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses, and will be not making any changes, click the Complete button.

Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Attitude	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Visibly supports and encourages diversity in style and background.
Treats all people fairly and with respect.
Builds open and trusting relationships.
Works to eliminate unnecessary work or barriers that get in others' way.
Shows by their actions that they trust in the positive intentions of others.
If were to make improvements in Attitude, what are your suggestions for how he/she can improve this?
Communication Skills	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Coaches others and provides feedback on the use of different oral communication styles for different audiences
Checks for understanding throughout conversations or group presentations/discussions
Able to deliver presentations.
Communicates effectively with all levels of the organization.
Able to demonstrate persuasiveness in pursuit of objectives.
If were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?
Bias for Action	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Identifies ways to simplify work processes and reduce cycle times
Motivates others to achieve or exceed goals
Seeks and utilizes opportunities for continuous learning and self-development.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Conveys a sense of urgency about addressing problems and opportunities
If were to make improvements in Bias for Action, what are your suggestions for how he/she can improve this?
Establishing Focus/Direction	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Aligns the department's goals with the goals of the organization.
Maintains self-control when personally criticized.
Functions well under stress, deadlines, and/or significant workloads.
Helps guide employees with prioritizing tasks.
Stays focused even when under pressure and stress.
If were to make improvements in Establishing Focus/Direction, what are your suggestions for how he/she can improve this?
Persuasion and Influence	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Attempts to persuade others rather than simply control them.
Ensures stakeholders are involved in the decision making process.
Understanding what others need.
Develops a good rapport with others.
Seeks to obtain consensus or compromise.
If were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?
Analytical	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Can effectively interpret and analyze data.
Asks the "right" questions to size up or evaluate situations.
Analyzes data and information from several sources and arrives at logical conclusions.
Actively seeks constructive feedback from others.
Identifies the root cause of a problem.
If were to make improvements in Analytical, what are your suggestions for how he/she can improve this?
Excellence	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Demonstrates the functional or technical skills necessary to do their job.
Is planful and organized.
Can be counted on to add value wherever they are involved.
Demonstrates the analytical skills to do their job.
Produces high quality work.
If were to make improvements in Excellence, what are your suggestions for how he/she can improve this?
Responsible	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Sets a good example
Sets a good example.
Is a person you can trust.
Behavior is ethical and honest.
Acts as a resource without removing individual responsibility.
If were to make improvements in Responsible, what are your suggestions for how he/she can improve this?

41. What are 's greatest strengths demonstrated this year?
    
    
    
42. What are 's areas for development?
    
    
    
43. Please give any final comments or suggestions for 's assessment.