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
Is clear about the roles and duties of team members.
Checks details thoroughly.
Communicates with clarity and efficiency.
Writes clear job descriptions for positions in the organization.
Maintains clarity in goals and objectives.
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
Keep themselves up-to-date of technical/professional issues
Quickly acquire and apply new knowledge and skills when needed
Encourages employees to take courses relevant to their job.
Allows employees to fully participate in employee training and professional development.
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
Considers other's opinion and suggestions.
Looks to others for input.
Is visible and approachable.
Shares past experiences with others as learning opportunities.
Actively seeks feedback from 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
Enthusiastic about taking on challenging projects.
High attention to detail.
Has strong technical/computer skills.
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
Understands and is committed to implementing new technologies.
Uses technology in decision making and problem solving.
Supports employee training and development initiatives regarding implementation of technology.
Adopts the implementation of new technology into the workplace.
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
Ensures that all supervisors are aware of regulatory and compliance measures.
Ensures compliance with safety regulations.
Identifies predictable hazards in the workplace.
Seeks to reduce the likelihood of accidents.
Mitigates hazards and safety issues that arise.
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
Embraces the differences in individuals that comprise the team.
Is a highly respected individual in the company.
Is a role model for others demonstrating the importance of interpersonal skills.
Assists those in the department who need help in meeting performance metrics.
Builds strong relationships with team members.
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
Able to work with others from different cultures and countries.
Demonstrates a curiosity about diverse individuals and cultures.
Facilitates open communication with individuals from other countries.
Builds working relationships with others across cultures.
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.