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
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Makes sure employees understand why they were given certain assignments.
Checks details thoroughly.
Maintains clarity in goals and objectives.
Clearly explains responsibilities to individuals.
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
Contributing fully to the extent of their skills
Seeks opportunities for professional development.
Allows employees to fully participate in employee training and professional development.
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
Seeks feedback to enhance performance.
Is easy to approach with ideas and opinions.
Is visible and approachable.
Considers other's opinion and suggestions.
Open to the suggestions of others.
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
Accurately implements contract provisions.
Completes reports on-time.
Takes responsibility for decisions.
Able to develop, justify and present a budget.
Strong organizational skills to keep the workspace and department in order
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
Maximizes the use of new technology to deliver products and services.
Uses technology in decision making and problem solving.
Understands and is committed to implementing new technologies.
Proficient in the use of technical systems and processes.
Applies complex rules and regulations to maintain optimal system performance.
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
Develops a strong safety culture.
Creates accurate and effective measures of safety.
Performs work safely.
Identifies and addresses safety needs.
Works to implement corrective safety measures.
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
Adapts management style to meet the needs of the individual or situation.
Is open and approachable
Is trusted by peers and co-workers; others are willing to confide in him/her
Expresses appreciation of other's work.
Provides constructive feedback in a way that fosters acceptance and development.
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.
Understands global systems such as the global economy.
Respects individual differences.
Engages in problem solving with individuals outside of the country.
Volunteers for experiences and assignments 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.