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
Adjusts communication methods to the needs of the audience.
Communicates ideas and facts clearly and effectively in writing.
Clearly explains responsibilities to individuals.
Uses appropriate grammar and tense in communications.
Is clear about the roles and duties of team members.
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
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Contributing fully to the extent of their skills
Seeks opportunities for continuous learning.
Quickly acquire and apply new knowledge and skills when needed
Allows employees to fully participate in employee training and professional development.
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 easy to approach with ideas and opinions.
Looks to others for input.
Actively seeks feedback from others.
Shares past experiences with others as learning opportunities.
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
High attention to detail.
Accurately implements contract provisions.
Strong organizational skills to keep the workspace and department in order
Has strong technical/computer skills.
Enthusiastic about taking on challenging projects.
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 employee training and development initiatives regarding implementation of technology.
Adopts the implementation of new technology into the workplace.
Proficient in the use of technical systems and processes.
Maximizes the use of new technology to deliver products and services.
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
Supports safety programs and procedures.
Develops a culture of safety.
Performs work safely.
Creates accurate and effective measures of safety.
Develops a strong safety culture.
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
Gives credit where credit is due.
Able to work with individuals at all levels of the Company.
Attends to both the content and the context of what was being said.
Is trusted by peers and co-workers; others are willing to confide in him/her
Uses knowledge and charisma rather than position, power, or coercion to influence others
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
Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
Can effectively deliver presentations to international clients.
Demonstrates working knowledge of global transactions.
Understands how cultures differ and how these differences impact work behavior.
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.