Continual Improvement - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are 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 this manager'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.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

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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Continual Improvement	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Analyzes processes to determine areas for improvement.
Looks for ways to expand and learn new job skills.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Open to the suggestions from others.
Looks for ways to expand current job responsibilities.
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
Clarifies objectives and the current scenario to help employees grasp the problem.
Recognizes the challenges that have emerged or are about to emerge.
Chooses a diverse group with relevant expertise and perspectives for a brainstorming session.
Conducts a cost-benefit analysis for each solution to determine its financial viability and potential return on investment.
Communicates goals and the present situation to ensure everyone understands the 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.
Sets long-term and short-term goals.
Works toward achieving established goals and objectives.
Able to organize work.
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
Fulfills commitments made to customers.
Makes sure their interests are aligned with the customer's interests.
Is committed to the success of the customer.
Interacts with customers to define roles, expectations, and responsibilities.
Ensures commitments made to customers are completed to the customer's satisfaction.
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 opportunities and incentives for employees to learn and share knowledge with others.
Ensures all participants in the network are treated fairly and equitably.
Participates in conflict resolution to find mutually beneficial solutions.
Promotes teamwork across departments, encouraging information exchange, and setting common goals.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
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
Exhibits a strategic orientation to identify and capitalize on opportunities to advance the organization.
Creates innovative strategies.
Makes sure the objectives are clearly communicated and understood.
Able to formulate strategy at the corporate level.
Develops strategies to seek new opportunities.
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.