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
Visibly supports and encourages diversity in style and background.
Shows by their actions that they trust in the positive intentions of others.
Contributes to a positive work environment.
Builds open and trusting relationships.
Is gracious and professional in their interactions with others.
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
Makes sure that team members have a clear idea of our group's goals.
Goal Setting
Sets high expectations and goals; encourages others to support the organization.
Conducts timely follow-up; keeps others informed on a need to know basis.
Achieves established 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
Takes a lot of pride in their work.
Keeps themselves and others focused on constant improvement.
Demonstrates the analytical skills to do their job.
Demonstrates the functional or technical skills necessary to do their job.
Produces high quality work.
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
Completes assigned work tasks.
Behavior is ethical and honest.
Holds herself / himself accountable to goals / objectives
Responsible for setting the vision of the department.
Sets a good example
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
Leverages relationships with others to achieve goals.
Persuades the other party of the benefits of our proposals.
Develops a unified understanding or strategy that acknowledges and addresses the different viewpoints and resolves conflicts.
Keeps emotions in check to avoid negative outbursts.
Maintains good interpersonal relationships with representatives from the other party.
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
Facilitates good rapport between team members.
Expresses appreciation for the work of other team members.
Builds relationships across boundaries and with key stakeholders by developing informal and formal networks.
Helps the team make good decisions even under conditions of uncertainty.
Effective team player
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
Is able to see issues from others' perspectives.
Constructively receives criticism and suggestions from others.
Able to see issues from others' perspectives.
...treats others with respect and dignity.
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.
Understands how decisions impact other business units beyond their immediate department of work group.
Follows existing procedures and processes.
Impresses upon others the important aspects of [Company].
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
Ensures others follow the correct rules and regulations on fiscal matters.
Develops budgets and plans for various programs and initiatives.
Monitors expenses and verifies the need for items purchased.
Effective in using Company's resources.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
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.