Attitude - 360 Degree Feedback Survey Sample #2

Instructions

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 and the goals they were asked to achieve. 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 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.

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

Attitude	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Treats all people fairly and with respect.
Works to eliminate unnecessary work or barriers that get in others' way.
Builds open and trusting relationships.
Visibly supports and encourages diversity in style and background.
Shows by their actions that they trust in the positive intentions of others.
What are your suggestions for how can make improvements in Attitude?
Leadership	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Able to influence others.
Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
Gives direct, constructive, and actionable feedback.
Effectively leads others.
Takes ownership and accountability for results
What are your suggestions for how can make improvements in Leadership?
Communication Skills	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Asks follow-up questions as needed.
Addresses issues of key importance to stakeholders.
Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
Listens to others' points of view with an open mind
Deals with difficult situations calmly and confidently.
What are your suggestions for how can make improvements in Communication Skills?
Administrative Skill	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Able to develop, justify and present a budget.
Takes responsibility for decisions.
Enthusiastic about taking on challenging projects.
Implements and uses performance measures.
High attention to detail.
What are your suggestions for how can make improvements in Administrative Skill?
Initiative	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Takes the initiative to change the direction or course of events.
Prepares for unexpected contingencies.
Seeks and utilizes opportunities for continuous learning and self-development.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Goes above and beyond the stated goals.
What are your suggestions for how can make improvements in Initiative?
Change Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Adopts changes to set and example for others to follow.
Assists others in understanding changes to the organization.
Supports the Company's efforts to implement changes.
Addresses organizational and departmental resistance to changes.
Effective in dealing with ambiguous and challenging situations.
What are your suggestions for how can make improvements in Change Management?
Clarity	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Avoids stating unclear or conflicting goals.
Maintains clarity in goals and objectives.
Clarifies problems and their causes to help employees correct them.
Communicates ideas and facts clearly and effectively in writing.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
What are your suggestions for how can make improvements in Clarity?
Customer Focus	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Develops strong customer relationships.
...friendliness and courtesy
Considers customers point of view when making decisions.
Consistently models positive customer service attitudes.
Ensures all customer commitments and requirements are met or exceeded.
What are your suggestions for how can make improvements in Customer Focus?
Others	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Treats others with respect and dignity.
Supports the efforts of other employees in implementing solutions to problems.
Constructively receives criticism and suggestions from others.
Works across boundaries within the organization.
Is able to see issues from others' perspectives.
What are your suggestions for how can make improvements in Others?
Entrepreneurship	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Excellent at managing relationships with stakeholders.
Encourages dynamic growth opportunities.
Able to adapt the department to changing business demands and climate.
Has a strategic awareness on how to promote the organization.
Encourages risk taking for developing potential business opportunities.
What are your suggestions for how can make improvements in Entrepreneurship?
Global Perspective	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Can effectively deliver presentations to international clients.
Applies knowledge of overseas markets.
Aligns personal vision with global strategies.
Demonstrates working knowledge of global transactions.
Sets the example for team on importance of cultural awareness.
What are your suggestions for how can make improvements in Global Perspective?

56. Strengths
    
    
    
57. Areas for Development
    
    
    
58. Please give any final comments or suggestions for 's assessment.