Attitude - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are 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 this manager'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.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

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 .

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Attitude	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Speaks about projects with language that conveys excitement and possibility.
Models openness to feedback, adapting personal approaches when new insights emerge.
Admits when mistakes are made and models the appropriate responses to learn from it constructively.
Does not focus on or well on differences in rank or status.
Has a concern for employees in the department.
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
Sets goals that are both realistic and challenging to achieve.
Is a dedicated supporter to significantly enhance the likelihood of goal attainment.
Participates in the setting of self-goals.
Says "no" to goals that will detract from the organization's objectives.
Keeps abreast of current developments pertaining to the job
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
Demonstrates the analytical skills to do their job.
Produces high quality work.
Keeps themselves and others focused on constant improvement.
Can be counted on to add value wherever they are involved.
Takes a lot of pride in their 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
Holds herself / himself accountable to goals / objectives
Works in a way that makes others want to work with her/him.
Acts as a resource without removing individual responsibility.
Is a person you can trust.
Sets high personal standards of performance.
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
Understands the other person's needs, concerns, and motivations.
Aims for solutions that benefit both parties.
Is an effective negotiator, fostering positive relationships and achieving good outcomes.
Is aware of the needs of the other party.
Keeps emotions in check to avoid negative outbursts.
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
Lets team members know when they have done well.
Committed to the successful completion of team goals.
Supports open communication between team members.
Able to work closely other team members who are considered to be difficult to work with.
Takes the time to actively listen to other team member's perspectives.
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
Works effectively with people from other departments.
Constructively receives criticism and suggestions from others.
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.
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
Believes in what we do and how we do it.
Maintains the high ethical standards of the company.
Sets manageable workloads across the team.
Builds trust by being transparent, consistent, and approachable in communication.
Celebrates progress and milestones to reinforce a trajectory of success.
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
Keeps excellent records for financial transparency.
Provides budgeting and accounting support to the Company.
Effective in using Company's resources.
Ensures others follow the correct rules and regulations on fiscal matters.
Monitors expenses and verifies the need for items purchased.
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.