Commitment to Result - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

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 .

Commitment To Result	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Willing to do whatever it takes-not afraid to have to put in extra effort.
Committed to the team.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Coordinates all department activities into a cohesive team effort.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Encourages commitment in others to obtain results.
Able to focus on a task even when working alone.
Takes immediate action toward goals.
Maintains persistence and dedication to achieving results.
If [Participant Name] were to make improvements in Commitment To Result, what are your suggestions for how he/she can improve this?
Goals	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Conducts timely follow-up; keeps others informed on a need to know basis.
Achieves goals.
Understands & contributes to development of strategic goals.
Achieves established goals.
Sets high expectations and goals; encourages others to support the organization.
Establishes and documents goals and objectives.
If [Participant Name] were to make improvements in Goals, what are your suggestions for how he/she can improve this?
Interpersonal Skills	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Attends to both the content and the context of what was being said.
Effectively manages conflicts by dealing with them directly and immediately
Is a role model for others demonstrating the importance of interpersonal skills.
Communicates initiatives in a clear and actionable manner to employees.
Demonstrates willingness to work with others.
Is willing to lend a hand to those in the department who need help.
If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?
Collaboration	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Creates an environment to support free exchange of information.
Listens to the ideas and suggestions from others.
Facilitates resolving differences to strengthen team unity.
Creates a culture that encourages understanding and valuing diverse perspectives to effectively resolve conflicts.
Makes decisions with other members of the group.
Builds strong interpersonal relationships for more effective collaboration.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Empowering Others	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Willing to share in the decision making process.
Allows subordinates to perform mission critical tasks.
Assigns important tasks to subordinates.
Creates a culture where employees are given the opportunity to take the initiative and make impactful decisions.
Creates opportunities for employees to exercise their independence.
Permits employees to take training to become more independent.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?
Business Acumen	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Evaluates risks in terms of their business impact and likelihood of occurrence.
Understands the critical business needs of the customer.
Recognizes the potential business impact of specific risks.
Analyzes current business practices to make better informed decisions.
Effectively troubleshoots customer business issues.
Knows how to use financial information to make an impact on the organization.
If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?
Passion To Learn	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Is open minded and curious about learning new skills.
Is open to feedback from others.
Takes advantage of training opportunities when they arise.
Is committed to enhancing their own knowledge and skills.
Demonstrates through personal behavior the commitment to high standards of performance.
Takes initiative for own learning and development.
If [Participant Name] were to make improvements in Passion To Learn, what are your suggestions for how he/she can improve this?

46. Strengths
    
    
    
47. Areas for Development
    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.