Commitment to Result - 360 Degree Feedback Survey Sample #1

Instructions:

The is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses, and will be not making any changes, click the Complete button.

Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Commitment To Result	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Coordinates all department activities into a cohesive team effort.
Encourages commitment in others to obtain results.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
If were to make improvements in Commitment To Result, what are your suggestions for how he/she can improve this?
Excellence	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Produces high quality work.
Takes a lot of pride in their work.
Is planful and organized.
Can be counted on to add value wherever they are involved.
Keeps themselves and others focused on constant improvement.
If were to make improvements in Excellence, what are your suggestions for how he/she can improve this?
Bias for Action	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Conveys a sense of urgency about addressing problems and opportunities
Encourages risk taking and experimentation to improve performance
Seeks and utilizes opportunities for continuous learning and self-development.
Displays high energy and enthusiasm on consistent basis.
If were to make improvements in Bias for Action, what are your suggestions for how he/she can improve this?
Establishing Focus/Direction	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Makes sure that employees understand how their work relates to organizational goals.
Maintains self-control when personally criticized.
Maintains focus when handling several problems or tasks simultaneously.
Functions well under stress, deadlines, and/or significant workloads.
Helps guide employees with prioritizing tasks.
If were to make improvements in Establishing Focus/Direction, what are your suggestions for how he/she can improve this?
Client Focus	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Maintains strong relationships with clients.
Obtains feedback to ensure client needs are being met.
Forms strong client relationships
Looks for opportunities that have a positive impact on Clients.
Ensures client commitments and requirements are met or exceeded
If were to make improvements in Client Focus, what are your suggestions for how he/she can improve this?
Communication Skills	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Asks follow-up questions as needed.
Coaches others and provides feedback on the use of different oral communication styles for different audiences
Addresses issues of key importance to stakeholders.
Communicates effectively with colleagues and customers
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
If were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?
Adaptability	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Is proactive and takes steps to prepare for changes in the workplace.
Works effectively in dynamic and changing work environments.
Able to work effectively with new people and new teams.
If were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?
Administrative Skill	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Enthusiastic about taking on challenging projects.
Completes reports on-time.
Takes responsibility for decisions.
Able to develop, justify and present a budget.
Has strong technical/computer skills.
If were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?
Coaching	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Helps employees to understand responsibilities, authority, and expectations.
Develops the skills and capabilities of others.
Helps employees to maintain high personal standards.
Meets regularly with employees to coach them on areas that will enhance their performance
Coaches employees in how to strengthen knowledge and skills to improve work performance.
If were to make improvements in Coaching, what are your suggestions for how he/she can improve this?
Teamwork	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Encourages teamwork and collaboration.
Actively participates as a team member
Contributes to and supports team decision-making process
Actively participates in the work of teams; seeks and listens to others' contributions
Is open to new ideas that may change own goals for benefit of the team
If were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?
Others	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Works across boundaries within the organization.
Able to see issues from others' perspectives.
Works effectively with people from other departments.
Treats others with respect and dignity.
Forms working relationships with employees from other departments.
If were to make improvements in Others, what are your suggestions for how he/she can improve this?
Organizational Fluency	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Adept at navigating within the culture of the department.
Anticipates problems that may affect the department.
Able to use corporate politics to advance department objectives.
Effective in communicating with others within the organization.
Able to deal with sensitive issues with tact and professionalism.
If were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?
Fiscal Management	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Develops of the department's annual budget.
Ensures others follow the correct rules and regulations on fiscal matters.
Keeps excellent records for financial transparency.
Develops budgets and plans for various programs and initiatives.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
If were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?

66. What are 's greatest strengths demonstrated this year?
    
    
    
67. What are 's areas for development?
    
    
    
68. Please give any final comments or suggestions for 's assessment.