Clarity - 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 .

Clarity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is clear about goals that need to be achieved.
Provides a clear vision for the future.
Makes sure employees understand why they were given certain assignments.
Avoids stating unclear or conflicting goals.
Adjusts communication methods to the needs of the audience.
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
Encourages employees to take courses relevant to their job.
Contributing fully to the extent of their skills
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Seeks opportunities for continuous learning.
Allows employees to fully participate in employee training and professional development.
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
Accepts the views of others.
Asks others for their ideas and opinions.
Is visible and approachable.
Looks to others for input.
Seeks feedback to enhance performance.
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
Strong organizational skills to keep the workspace and department in order
Able to develop, justify and present a budget.
High attention to detail.
Takes responsibility for decisions.
Enthusiastic about taking on challenging projects.
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
Supports technical training and development of employees.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Understands and is committed to implementing new technologies.
Maximizes the use of new technology to deliver products and services.
Proficient in the use of technical systems and processes.
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 our company's safety programs.
Develops safety guidelines for the department.
Develops a sustainable safety culture.
Encourages others to work safely.
Keeps accurate safety records.
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
Assists employees that need help.
Offers constructive criticism to have a positive impact on performance.
Demonstrates compassion and understanding of others.
Works diligently to assist customers in finding the right products.
Easily approachable.
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
Able to work with others from different cultures and countries.
Builds working relationships with others across cultures.
Attends training seminars and conferences to increase skills in working with others globally.
Sets the example for team on importance of cultural awareness.
Applies knowledge of overseas markets.
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.