Communication - 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

Communication Skills	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
Listens to others' points of view with an open mind
An effective listener who is responsive to information needs.
Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
Communications with department leadership
If were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?
Action	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Displays high energy and enthusiasm on consistent basis.
Gets the job done.
Works quickly when faced with difficult problems.
Motivates & supports others to gain skills
Makes effective decisions, even when under pressure.
If were to make improvements in Action, what are your suggestions for how he/she can improve this?
Continual Learning	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Pursues self-improvement through continual learning.
Grasps new ideas, concepts, technical, or business knowledge.
Shares best practices with others and learns from others.
Builds on their strengths while addressing their weaknesses.
Sets relevant learning objectives and goals.
If were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?
Project Management	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Works with customers and clients to assess their needs and define project parameters.
Able to adjust project schedule as needed to accommodate unforeseen issues.
Anticipates potential problems and institutes controls and contingency plans to address them.
Defines project outcomes based on customer requirements.
Organizes, plans, and directs resources to accomplish the goals and objectives.
If were to make improvements in Project Management, what are your suggestions for how he/she can improve this?
Decision Making	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
Does not lose sight of the big picture when making decisions
Asks for additional information when making critical decisions.
Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
Seeks input from key people who should be involved in, or will be affected by, decisions
If were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?
Time Management	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Completes tasks ahead of schedule.
Leaves time in the schedule for unplanned contingencies.
Keeps and maintains a To-Do list.
Completes high-priority work within required timelines.
Focuses on tasks that have high priority.
If were to make improvements in Time Management, what are your suggestions for how he/she can improve this?
Technology Use/Management	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Proficient in the use of technical systems and processes.
Understands and is committed to implementing new technologies.
Supports technical training and development of employees.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Adopts the implementation of new technology into the workplace.
If were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?
Interpersonal Skills	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Able to work with individuals at all levels of the Company.
Uses tact, compassion, and sensitivity in interactions with others.
Effectively manages conflicts by dealing with them directly and immediately
Provides constructive feedback in a way that fosters acceptance and development.
Creates an atmosphere that supports the open expression of ideas
If were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?
Managing Risk	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Bases decisions on patterns found in fluid/changing information.
Responds appropriately to unexplained or unanticipated events.
Seeks to retain the best and brightest employees.
Maintains open communication with other departments.
Able to adapt quickly to changing situations.
If were to make improvements in Managing Risk, what are your suggestions for how he/she can improve this?
Client Focus	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Ensures client commitments and requirements are met or exceeded
Forms strong client relationships
Maintains strong relationships with clients.
Looks for opportunities that have a positive impact on Clients.
Obtains feedback to ensure client needs are being met.
If were to make improvements in Client Focus, what are your suggestions for how he/she can improve this?

51. What are 's greatest strengths demonstrated this year?
    
    
    
52. What are 's areas for development?
    
    
    
53. Please give any final comments or suggestions for 's assessment.