Company- 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 .

Company	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Follows existing procedures and processes.
Understands how decisions impact other business units beyond their immediate department of work group.
Understands the "basics" as to how [Company] functions/operates.
Understands the use of [Company] products and services.
Attends [Company] gatherings and social events.
If [Participant Name] were to make improvements in Company, what are your suggestions for how he/she can improve this?
Entrepreneurship	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Encourages dynamic growth opportunities.
Is comfortable operating in an environment of uncertainty.
Exhibits determination and passion in completion of goals.
Devotes a certain amount of time and effort to developing new business opportunities.
Excellent at managing relationships with stakeholders.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?
Flexibility	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Implements changes as a result of having listened to employees
Is open to alternative ways to accomplish goals
Encourages others to adopt new procedures.
Acts decisively in frequently changing and uncertain environment.
Adapts to new organizational structures, policies, or procedures.
If [Participant Name] were to make improvements in Flexibility, what are your suggestions for how he/she can improve this?
Integrity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Establishes relationships of trust, honesty, fairness, and integrity.
Fosters a high standard of ethics and integrity.
Protects the integrity and confidentiality of information
Demonstrates honesty and truthfulness at all times.
Does what was promised.
If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?
Professional Development	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Contributing fully to the extent of their skills
Keep themselves up-to-date of technical/professional issues
Seeks opportunities for professional development.
Quickly acquire and apply new knowledge and skills when needed
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
If [Participant Name] were to make improvements in Professional Development, what are your suggestions for how he/she can improve this?
Analytical	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Identifies problems and issues needing resolution.
Prioritizes various actions to be taken when solving a problem.
Analyzes data and information from several sources and arrives at logical conclusions.
Identifies opportunities for progress and innovation.
Selects the appropriate techniques for analysis.
If [Participant Name] were to make improvements in Analytical, what are your suggestions for how he/she can improve this?
Problem Solving	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Implements effective solutions to critical problems.
Understands the root causes of problems.
Is a good problem solver and decision maker
Finds creative ways to get things done with limited resources.
Identifies and assesses all potential responses to a problem.
If [Participant Name] were to make improvements in Problem Solving, what are your suggestions for how he/she can improve this?
Innovation	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Finds creative ways to get things done with limited resources.
Searches for opportunities and innovative ways to improve the organization.
Fosters a creative and innovative work environment.
Suggests new ideas at meetings.
Creates improved methods or solutions for meeting goals and objectives.
If [Participant Name] were to make improvements in Innovation, 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.