Continual Improvement - 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

Continual Improvement	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Promotes training and development opportunities to enhance job performance.
Open to the suggestions from others.
Looks for ways to expand current job responsibilities.
Looks for ways to improve work processes and procedures.
Looks for ways to expand and learn new job skills.
If were to make improvements in Continual Improvement, what are your suggestions for how he/she can improve this?
Establishing Focus/Direction	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Maintains focus when handling several problems or tasks simultaneously.
Maintains self-control when personally criticized.
Aligns the department's goals with the goals of the organization.
Makes sure that employees understand how their work relates to organizational goals.
Makes sure that employees understand and identify with the team's mission.
If were to make improvements in Establishing Focus/Direction, what are your suggestions for how he/she can improve this?
Persuasion and Influence	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Communicates effectively with others.
Ensures stakeholders are involved in the decision making process.
Able to express own goals and needs.
Understanding what others need.
Persuades others to consider alternative points of view.
If were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?
Analytical	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Actively seeks constructive feedback from others.
Analyzes data and information from several sources and arrives at logical conclusions.
Identifies the root cause of a problem.
Asks the "right" questions to size up or evaluate situations.
Can effectively interpret and analyze data.
If were to make improvements in Analytical, what are your suggestions for how he/she can improve this?
Adaptability	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Learns from personal experiences and/or mistakes.
Works effectively in dynamic and changing work environments.
Recognizes and implements changes to enhance efficiency and effectiveness.
Flexible and open to new ideas and encourages others to value change.
Is proactive and takes steps to prepare for changes in the workplace.
If were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?
Excellence	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Can be counted on to add value wherever they are involved.
Keeps themselves and others focused on constant improvement.
Takes a lot of pride in their work.
Demonstrates the analytical skills to do their job.
Produces high quality work.
If were to make improvements in Excellence, what are your suggestions for how he/she can improve this?
Customer Focus	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Considers customers point of view when making decisions.
Consistently models positive customer service attitudes.
Maintains positive customer relationships.
Develops strong customer relationships.
Develops good rapport and trust with the customer.
If were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?
Developing Others	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Creates opportunities for professional development.
Recognizes and celebrates accomplishments of others.
Provides constructive feedback to others.
Assigns tasks and responsibilities to develop skills of others.
Encourages employees through recognition of positive changes in behavior.
If were to make improvements in Developing Others, what are your suggestions for how he/she can improve this?
Conflict Management	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Identifies and takes steps to prevent potential confrontations.
Clearly expresses expectations to others.
Deals effectively with employee grievances.
Tries to understand others' point of view before making judgments
Discusses conflict situations with supervisor.
If were to make improvements in Conflict Management, what are your suggestions for how he/she can improve this?
Fiscal Management	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Monitors spending.
Develops budgets and plans for various programs and initiatives.
Ensures others follow the correct rules and regulations on fiscal matters.
Provides budgeting and accounting support to the Company.
Monitors expenses and verifies the need for items purchased.
If were to make improvements in Fiscal Management, 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.