Clarity - 360 Degree Feedback Survey Sample #7

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 and .

Clarity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Communicates ideas and facts clearly and effectively in writing.
Attends to the important details of a job or task.
Maintains clarity in goals and objectives.
Avoids stating unclear or conflicting goals.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
If 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.
Keep themselves up-to-date of technical/professional issues
Quickly acquire and apply new knowledge and skills when needed
Allows employees to fully participate in employee training and professional development.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
If 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
Open to the suggestions of others.
Asks others for their ideas and opinions.
Considers other's opinion and suggestions.
Actively seeks feedback from others.
Looks to others for input.
If 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
Accurately implements contract provisions.
Implements and uses performance measures.
High attention to detail.
Completes reports on-time.
Enthusiastic about taking on challenging projects.
If 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
Adopts the implementation of new technology into the workplace.
Supports employee training and development initiatives regarding implementation of technology.
Uses technology in decision making and problem solving.
Understands and is committed to implementing new technologies.
Applies complex rules and regulations to maintain optimal system performance.
If 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
Participates in safety training as applicable.
Is aware of OSHA safety guidelines.
Performs work safely.
Mitigates hazards and safety issues that arise.
Participates in safety training when available.
If 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
Values the opinions of others.
Strives for win/win solutions
Is a role model for others
Provides constructive feedback in a way that fosters acceptance and development.
Able to work with individuals at all levels of the Company.
If 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
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
Forms strong client relationships with international partners.
Aligns personal vision with global strategies.
Applies knowledge of overseas markets.
Considers customers point of view when making decisions.
If 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 's assessment.