Company - 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 .

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Company	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Translates company-wide initiatives into actionable goals for the team.
Strives to provide a good environment for clients and staff.
Has created an excellent training and development department.
Increases job satisfaction in the department by supporting and empowering employees to do their best work.
Makes sure employees are aware of the company's financial situation.
Believes in what we do and how we do it.
Maintains the high ethical standards of the company.
Staffs the department to an adequate level.
Sees opportunities for growth of the organization.
If [Participant Name] were to make improvements in Company, what are your suggestions for how he/she can improve this?
Initiative	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Anticipates, prepares, and acts proactively to address issues in the department.
Encourages others on the team to suggest process improvements.
Takes appropriate actions to address problems or issues.
Volunteers time and effort toward the completion of important goals.
Takes charge when there is a crisis.
Identifies emerging trends or shifts in the business environment and takes the initiative to adjust plans accordingly.
If [Participant Name] were to make improvements in Initiative, what are your suggestions for how he/she can improve this?
Excellence	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Demonstrates the functional or technical skills necessary to do their job.
Produces high quality work.
Demonstrates the analytical skills to do their job.
Keeps themselves and others focused on constant improvement.
Takes a lot of pride in their work.
Can be counted on to add value wherever they are involved.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?
Self Management	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Steps away from a situation to process appropriate response.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Does not allow own emotions to interfere with the performance of others.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Consciously controls own negative emotions in order to keep team morale up.
Analyzes interpersonal problems instead of reacting to them.
If [Participant Name] were to make improvements in Self Management, what are your suggestions for how he/she can improve this?
Persuasion and Influence	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Translates complex technical or strategic issues into accessible language that motivates action.
Maintains a high reputation within the department/organization.
Reinforces key messages through repetition, storytelling, and strategic emphasis, making them memorable and actionable.
Considers carefully the messages to be sent to employees to ensure they convey the correct sentiment and information.
Develops sales pitches based on the unique needs of the customers.
Coordinates with allies in advance to ensure messaging is reinforced by trusted voices.
If [Participant Name] were to make improvements in Persuasion and Influence, 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
Comes across as credible, knowledgeable and sincere
Is willing to lend a hand to those in the department who need help.
Demonstrates positive behaviors for others to follow.
Considers the other individual's point of view.
Responds quickly to inquiries from potential customers.
Uses tact, compassion, and sensitivity in interactions with others.
If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?

40. Strengths
    
    
    
41. Areas for Development
    
    
    
42. Please give any final comments or suggestions for [Participant Name Here]'s assessment.