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
Treats all people fairly and with respect.
Builds open and trusting relationships.
Contributes to a positive and fun work environment.
Is gracious and professional in their interactions with others.
Works to eliminate unnecessary work or barriers that get in others' way.
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
Achieves established goals.
Establishes and documents goals and objectives.
Makes sure that team members have a clear idea of our group's goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Sets high expectations and goals; encourages others to support the organization.
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
Can be counted on to add value wherever they are involved.
Demonstrates the analytical skills to do their job.
Takes a lot of pride in their work.
Produces high quality work.
Is planful and organized.
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
...takes personal responsibility for results.
Completes assigned work tasks.
Behavior is ethical and honest.
Sets a good example
Responsible for setting the vision of the department.
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
Establishes good working relationships with others.
Changes communication styles to meet the listener's needs.
Actively listens to conversations to be able to recall important details later.
Able to say "no" when it is essential to maintaining quality and high standards.
Able to clearly express thoughts and concerns.
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
Fosters respect and understanding among team members
Act as an effective team player
Comes across as a reliable, committed team member
Identifies and resolves conflicts within the team to increase team effectiveness
Creates opportunities to learn with other team members
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.
Consistently demonstrates ability and willingness to trust others.
Is able to see issues from others' perspectives.
Helpful
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
Impresses upon others the important aspects of [Company].
Understands the "basics" as to how [Company] functions/operates.
Follows existing procedures and processes.
Attends [Company] gatherings and social events.
Understands the use of [Company] products and services.
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
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops budgets and plans for various programs and initiatives.
Monitors expenses and verifies the need for items purchased.
Develops of the department's annual budget.
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.