Continual Improvement - 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 .

Continual Improvement	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Looks for ways to expand and learn new job skills.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Looks for ways to expand current job responsibilities.
Analyzes processes to determine areas for improvement.
If [Participant Name] were to make improvements in Continual Improvement, what are your suggestions for how he/she can improve this?
Problem Solving	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Identifies and assesses all potential responses to a problem.
Generates alternative solutions to problems and challenges.
Works cooperatively with others to solve problems.
Able to balance the needs of different people in a solution to a problem.
Effective in solving problems.
If [Participant Name] were to make improvements in Problem Solving, what are your suggestions for how he/she can improve this?
Objectives	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Assures [Company] principles are understood, employed & pursued.
Organizes and schedules events, activities, and resources.
Sets long-term and short-term goals.
Consistently provides me with timely feedback for improving my performance.
Establishes goals and objectives.
If [Participant Name] were to make improvements in Objectives, what are your suggestions for how he/she can improve this?
Customer Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Develops strong customer relationships.
Does not hesitate to address customer concerns or complaints.
Considers customers point of view when making decisions.
Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
Consistently models positive customer service attitudes.
If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?
Partnering/Networking	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Creates value within the Company by building networks.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Builds alliances between departments and teams.
Supports and encourages relationships that are created by diverse team members.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
If [Participant Name] were to make improvements in Partnering/Networking, what are your suggestions for how he/she can improve this?
Strategic Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Looks for opportunities to enhance contributions to the bottom line.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Able to decline a poor strategy by proposing alternate strategies.
Understands & contributes to development of strategic goals.
Communicates goals and objectives to employees.
If [Participant Name] were to make improvements in Strategic Focus, what are your suggestions for how he/she can improve this?

31. Strengths
    
    
    
32. Areas for Development
    
    
    
33. Please give any final comments or suggestions for [Participant Name Here]'s assessment.