Attitude - 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 .

Attitude	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is gracious and professional in their interactions with others.
Contributes to a positive work environment.
Builds open and trusting relationships.
Treats all people fairly and with respect.
Contributes to a positive and fun work environment.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?
Goals	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Goal Setting
Sets high expectations and goals; encourages others to support the organization.
Understands & contributes to development of strategic goals.
Achieves established goals.
Makes sure that team members have a clear idea of our group's goals.
If [Participant Name] were to make improvements in Goals, what are your suggestions for how he/she can improve this?
Excellence	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Produces high quality work.
Is planful and organized.
Can be counted on to add value wherever they are involved.
Takes a lot of pride in their work.
Demonstrates the functional or technical skills necessary to do their job.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?
Responsible	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Responsible for setting the vision of the department.
Holds herself / himself accountable to goals / objectives
Behavior is ethical and honest.
Acts as a resource without removing individual responsibility.
...takes personal responsibility for results.
If [Participant Name] were to make improvements in Responsible, what are your suggestions for how he/she can improve this?
Negotiation	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Able to control their emotional responses and correctly gauge the emotions of others.
Actively listens to conversations to be able to recall important details later.
Influences others through rational argument and persuasion.
Conducts necessary preparations before engaging in negotiations.
Able to say "no" when it is essential to maintaining quality and high standards.
If [Participant Name] were to make improvements in Negotiation, what are your suggestions for how he/she can improve this?
Teamwork	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Shares pertinent information with all members of the team.
Is committed to the success of the team.
Creates a climate that encourages team participation.
Committed to the successful completion of team goals.
Actively and openly participates in team meetings.
If [Participant Name] were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?
Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Respects the opinions of other employees.
Able to see issues from others' perspectives.
Is able to see issues from others' perspectives.
Supports the efforts of other employees in implementing solutions to problems.
Forms working relationships with employees from other departments.
If [Participant Name] were to make improvements in Others, what are your suggestions for how he/she can improve this?
Company	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the use of [Company] products and services.
Follows existing procedures and processes.
Attends [Company] gatherings and social events.
Understands how decisions impact other business units beyond their immediate department of work group.
If [Participant Name] were to make improvements in Company, what are your suggestions for how he/she can improve this?
Fiscal Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Provides budgeting and accounting support to the Company.
Ensures others follow the correct rules and regulations on fiscal matters.
Effective in using Company's resources.
Develops budgets and plans for various programs and initiatives.
Keeps excellent records for financial transparency.
If [Participant Name] were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?

46. Strengths
    
    
    
47. Areas for Development
    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.