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 .

Edit this Survey

Would you like to edit this survey? Click here to begin.

Attitude	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Contributes to a positive work environment.
Shows by their actions that they trust in the positive intentions of others.
Is gracious and professional in their interactions with others.
Visibly supports and encourages diversity in style and background.
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
Makes sure that team members have a clear idea of our group's goals.
Establishes and documents goals and objectives.
Sets high expectations and goals; encourages others to support the organization.
Understands & contributes to development of strategic goals.
Makes sure that I 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
Takes a lot of pride in their work.
Demonstrates the analytical skills to do their job.
Is planful and organized.
Can be counted on to add value wherever they are involved.
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
Is a person you can trust.
Acts as a resource without removing individual responsibility.
Completes assigned work tasks.
Behavior is ethical and honest.
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
Is flexible in responses.
Understands the current situation of both parties.
Maintains control over emotions to ensure a constructive environment.
Is aware of potential emotional triggers that could negatively impact the negotiations.
Is aware of the needs of 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
Actively participates as a team member
Makes sure each team member participates in the task.
Coaches team members to work toward a common goal.
Focuses on understanding the other team member's message.
Takes the time to listen to the team's ideas.
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
Forms working relationships with employees from other departments.
Able to see issues from others' perspectives.
Helpful
Supports the efforts of other employees in implementing solutions to problems.
Treats others with respect and dignity.
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
Follows existing procedures and processes.
Understands the "basics" as to how [Company] functions/operates.
Understands how decisions impact other business units beyond their immediate department of work group.
Impresses upon others the important aspects of [Company].
Attends [Company] gatherings and social events.
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
Effective in using Company's resources.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Monitors spending.
Monitors expenses and verifies the need for items purchased.
Develops budgets and plans for various programs and initiatives.
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.