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
Communicates with clarity and efficiency.
Maintains clarity in goals and objectives.
Attends to the important details of a job or task.
Communicates ideas and facts clearly and effectively in writing.
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
Seeks opportunities for professional development.
Keep themselves up-to-date of technical/professional issues
Seeks opportunities for continuous learning.
Contributing fully to the extent of their skills
Quickly acquire and apply new knowledge and skills when needed
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
Shares past experiences with others as learning opportunities.
Accepts the views of others.
Actively seeks feedback from others.
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
Implements and uses performance measures.
High attention to detail.
Strong organizational skills to keep the workspace and department in order
Enthusiastic about taking on challenging projects.
Able to develop, justify and present a budget.
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
Proficient in the use of technical systems and processes.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Uses technology in decision making and problem solving.
Supports technical training and development of employees.
Understands and is committed to implementing new technologies.
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.
Creates accurate and effective measures of safety.
Committed to safety in the workplace.
Is aware of OSHA safety guidelines.
Develops safety guidelines for the department.
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
Communicates well at all levels of the organization.
Honest about owning up to mistakes made.
Takes time to recognize the efforts of others.
Offers constructive criticism to have a positive impact on performance.
Is someone you can trust.
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.
Is aware of the culture, behaviors, identities and beliefs of others.
Understands how cultures differ and how these differences impact work behavior.
Communicates effectively on a multi-lingual basis.
Attends training seminars and conferences to increase skills in working with others globally.
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.