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
Understands how decisions impact other business units beyond their immediate department of work group.
Understands the use of [Company] products and services.
Impresses upon others the important aspects of [Company].
Attends [Company] gatherings and social events.
Understands the "basics" as to how [Company] functions/operates.
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
Balances risks and rewards when making decisions.
Able to adapt the department to changing business demands and climate.
Is comfortable operating in an environment of uncertainty.
Encourages risk taking for developing potential business opportunities.
Devotes a certain amount of time and effort to developing new business opportunities.
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
Willing to try new ideas.
Effective in incorporating new ideas.
Can handle changes without complaining.
Implements changes as a result of having listened to employees
Adapts to circumstances as needed.
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
Accepts responsibility for mistakes.
Fosters a high standard of ethics and integrity.
Demonstrates honesty and truthfulness at all times.
Develops trust and confidence from others.
Fosters an environment built upon trust.
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
Encourages employees to take courses relevant to their job.
Seeks opportunities for continuous learning.
Keep themselves up-to-date of technical/professional issues
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?
Analytical	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Analyzes issues and reduces them to their component parts.
Identifies problems and issues needing resolution.
Identifies opportunities for progress and innovation.
Identifies the root cause of a problem.
Analyzes data and information from several sources and arrives at logical conclusions.
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
Makes judgments based upon relevant information.
Solves problems using logic and insight.
Understands the root causes of problems.
Generates alternative solutions to problems and challenges.
Ability to develop innovative solutions to problems.
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
Creates improved methods or solutions for meeting goals and objectives.
Analyzes current procedures and identifies opportunities for improvement.
Fosters a creative and innovative work environment.
Develops new products and services.
Searches for opportunities and innovative ways to improve the organization.
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.