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.
Open to the suggestions from others.
Analyzes processes to determine areas for improvement.
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand and learn new job skills.
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
Ability to solve problems at root cause rather than at symptom level.
Solves problems using logic and insight.
Actively seeks the root cause of a problem.
Makes judgments based upon relevant information.
Identifies fresh approaches and shows a willingness to question traditional assumptions.
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
Sets long-term and short-term goals.
Effectively organizes resources and plans
Works toward achieving established goals and objectives.
Ability to establish realistic goals.
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
Uses feedback from the customer to help improve the customer's experience.
Attends to the customer's needs in addition to the specific needs of the project.
Responsive to customer needs.
Ensures commitments made to customers are completed to the customer's satisfaction.
Thoroughly understands the needs of the customer.
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
Seeks to reduce institutional roadblocks to information sharing.
Facilitates open and honest communication to build trust and mutual respect.
Fosters cross-department collaboration, facilitates information sharing, and establishes common objectives.
Partners with peers to obtain influence within the Company.
Able to highlight both the strategic benefits and potential pitfalls in collaboration.
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
Understands how to achieve strategic financial objectives.
Supports changes being recommended from senior management.
Identifies the role of each department in meeting the strategic goals.
Assigns individuals the responsibility of keeping track of progress toward achieving milestones.
Identifies ways in which the company is better able to meet the customers' needs than rivals.
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.