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
Open to the suggestions from others.
Looks for ways to expand and learn new job skills.
Analyzes processes to determine areas for improvement.
Looks for ways to expand current job responsibilities.
Looks for ways to improve work processes and procedures.
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.
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Works cooperatively with others to solve problems.
Finds creative ways to get things done with limited resources.
Actively seeks the root cause of a problem.
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
Ability to establish realistic goals.
Works toward achieving established goals and objectives.
Effectively organizes resources and plans
Organizes and schedules events, activities, and resources.
Encourages me to take on greater responsibility.
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.
Makes sure customer needs are understood by the team members.
Creates documents that meet the customer's specifications.
Focuses on maintaining good relationships with customers.
Manages customer accounts with high degree of competence.
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 the conditions for partnerships to grow and develop.
Maintains infrastructure to support partnerships and networks.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Seeks to reduce institutional roadblocks to information sharing.
Creates value within the Company by building networks.
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
Able to decline a poor strategy by proposing alternate strategies.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Understands & contributes to development of strategic goals.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
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.