Clarity - 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 .

Clarity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Avoids stating unclear or conflicting goals.
Communicates ideas and facts clearly and effectively in writing.
Clarifies problems and their causes to help employees correct them.
Provides a clear vision for the future.
Clearly explains the vision and goals of the company.
If [Participant Name] were to make improvements in Clarity, what are your suggestions for how he/she can improve this?
Professional Development	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Seeks opportunities for professional development.
Contributing fully to the extent of their skills
Encourages employees to take courses relevant to their job.
Quickly acquire and apply new knowledge and skills when needed
Seeks opportunities for continuous learning.
If [Participant Name] were to make improvements in Professional Development, what are your suggestions for how he/she can improve this?
Feedback	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Seeks feedback to enhance performance.
Asks others for their ideas and opinions.
Is easy to approach with ideas and opinions.
Accepts the views of others.
Shares past experiences with others as learning opportunities.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?
Administrative Skill	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Implements and uses performance measures.
Strong organizational skills to keep the workspace and department in order
Accurately implements contract provisions.
Completes reports on-time.
Able to develop, justify and present a budget.
If [Participant Name] were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?
Technology Use/Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Proficient in the use of technical systems and processes.
Supports technical training and development of employees.
Maximizes the use of new technology to deliver products and services.
Adopts the implementation of new technology into the workplace.
Uses technology in decision making and problem solving.
If [Participant Name] were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?
Safety	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Supports safety programs and procedures.
Points out behaviors in others that may be unsafe.
Participates in safety training when available.
Identifies predictable hazards in the workplace.
Develops safety guidelines for the department.
If [Participant Name] were to make improvements in Safety, what are your suggestions for how he/she can improve this?
Interpersonal Skills	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Appreciates the extra efforts made by coworkers.
Communicates well at all levels of the organization.
Easily approachable.
Follows up on inquiries in a timely manner.
Assists those in the department who need help in meeting performance metrics.
If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?
Global Perspective	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Creates an environment where individual differences are valued and supported.
Considers customers point of view when making decisions.
Has positive interactions with individuals from different cultures and backgrounds.
Respects individual differences.
Understands how cultures differ and how these differences impact work behavior.
If [Participant Name] were to make improvements in Global Perspective, what are your suggestions for how he/she can improve this?

41. Strengths
    
    
    
42. Areas for Development
    
    
    
43. Please give any final comments or suggestions for [Participant Name Here]'s assessment.