Continual Improvement - 360 Degree Feedback Survey Sample #2

Instructions

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 and the goals they were asked to achieve. 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 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.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Continual Improvement	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Looks for ways to expand current job responsibilities.
Looks for ways to expand and learn new job skills.
Looks for ways to improve work processes and procedures.
Open to the suggestions from others.
Promotes training and development opportunities to enhance job performance.
What are your suggestions for how can make improvements in Continual Improvement?
Attitude	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Visibly supports and encourages diversity in style and background.
Shows by their actions that they trust in the positive intentions of others.
Contributes to a positive and fun work environment.
Builds open and trusting relationships.
Treats all people fairly and with respect.
What are your suggestions for how can make improvements in Attitude?
Leadership	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Demonstrates leadership and courage in critical situations.
Able to influence others.
Highly effective supervisor.
Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
Gives direct, constructive, and actionable feedback.
What are your suggestions for how can make improvements in Leadership?
Bias for Action	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Completes work on time
Identifies ways to simplify work processes and reduce cycle times
Conveys a sense of urgency about addressing problems and opportunities
Completes a large volume of work.
Motivates others to achieve or exceed goals
What are your suggestions for how can make improvements in Bias for Action?
Initiative	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Prepares for unexpected contingencies.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Takes action without being asked.
Immediately works to complete goals well before their deadline.
What are your suggestions for how can make improvements in Initiative?
Communication Skills	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Communicates effectively with all levels of the organization.
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
Asks follow-up questions as needed.
Communications with department leadership
Checks for understanding throughout conversations or group presentations/discussions
What are your suggestions for how can make improvements in Communication Skills?
Clarity	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Communicates ideas and facts clearly and effectively in writing.
Maintains clarity in goals and objectives.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Attends to the important details of a job or task.
Avoids stating unclear or conflicting goals.
What are your suggestions for how can make improvements in Clarity?
Interpersonal Skills	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Applies appropriate communication techniques to the situation.
Anticipates the concerns of other employees.
Creates an atmosphere that supports the open expression of ideas
Provides constructive feedback in a way that fosters acceptance and development.
Adapts management style to meet the needs of the individual or situation.
What are your suggestions for how can make improvements in Interpersonal Skills?
Customer Focus	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Develops good rapport and trust with the customer.
Consistently models positive customer service attitudes.
Maintains positive customer relationships.
Develops strong customer relationships.
...friendliness and courtesy
What are your suggestions for how can make improvements in Customer Focus?
Global Perspective	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Applies knowledge of overseas markets.
Sets the example for team on importance of cultural awareness.
Forms strong client relationships with international partners.
Can effectively deliver presentations to international clients.
Aligns personal vision with global strategies.
What are your suggestions for how can make improvements in Global Perspective?

51. Strengths
    
    
    
52. Areas for Development
    
    
    
53. Please give any final comments or suggestions for 's assessment.