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
Clearly explains responsibilities to individuals.
Is clear about goals that need to be achieved.
Avoids stating unclear or conflicting goals.
Uses appropriate grammar and tense in communications.
Makes sure employees understand why they were given certain assignments.
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
Allows employees to fully participate in employee training and professional development.
Quickly acquire and apply new knowledge and skills when needed
Encourages employees to take courses relevant to their job.
Keep themselves up-to-date of technical/professional issues
Contributing fully to the extent of their skills
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
Actively seeks feedback from others.
Considers other's opinion and suggestions.
Open to the suggestions of others.
Shares past experiences with others as learning opportunities.
Looks to others for input.
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
Able to develop, justify and present a budget.
Completes reports on-time.
Strong organizational skills to keep the workspace and department in order
Has strong technical/computer skills.
Accurately implements contract provisions.
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.
Understands and is committed to implementing new technologies.
Adopts the implementation of new technology into the workplace.
Uses technology in decision making and problem solving.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
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
Encourages others to work safely.
Performs work safely.
Creates accurate and effective measures of safety.
Identifies and addresses safety needs.
Is not afraid to question a potential safety issue observed in the workplace.
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
Successfully resolves conflicts and grievances to a win-win solution.
Adapts management style to meet the needs of the individual or situation.
Able to work with individuals at all levels of the Company.
Values the opinions of others.
Comes across as credible, knowledgeable and sincere
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
Builds working relationships with others across cultures.
Sets the example for team on importance of cultural awareness.
Forms strong client relationships with international partners.
Volunteers for experiences and assignments abroad.
Considers customers point of view when making decisions.
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.