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 .

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Clarity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Makes sure employees understand why they were given certain assignments.
Avoids creating ambiguity or mixed messages.
Clearly explains the vision and goals of the company.
Clearly explains responsibilities to individuals.
Avoids stating unclear or conflicting goals.
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 continuous learning.
Quickly acquire and apply new knowledge and skills when needed
Keep themselves up-to-date of technical/professional issues
Encourages employees to take courses relevant to their job.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
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
Is open to receiving insights from others about their strengths and areas needing development.
Open to the suggestions of others.
Integrates feedback appropriately to support professional advancement, ensuring it is handled with integrity.
Leverages feedback responsibly to enhance professional skills, ensuring it is applied in a respectful and appropriate manner.
Clarifies what is expected in terms of performance and behavior.
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
Keeps track of document updates and revisions to ensure the most current version is readily available while preserving earlier versions if needed.
Takes time to listen to employees.
Able to develop, justify and present a budget plan.
Actively seeks to assist others in need.
Compiles, transcribes, and distributes minutes of meetings.
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
Uses technology in decision making and problem solving.
Adopts the implementation of new technology into the workplace.
Applies complex rules and regulations to maintain optimal system performance.
Maximizes the use of new technology to deliver products and services.
Supports technical training and development of employees.
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.
Participates in safety training when offered.
Ensures compliance with safety regulations.
Seeks to reduce the likelihood of accidents.
Performs work safely.
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 initiatives in a clear and actionable manner to employees.
Responds quickly to inquiries from potential customers.
Gives constructive feedback on performance reviews.
Honesty and integrity are core tenets of interpersonal relationships.
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.
Applies knowledge of overseas markets.
Understands global systems such as the global economy.
Respects individual differences.
Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
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.