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
Looks for ways to expand and learn new job skills.
Open to the suggestions from others.
Looks for ways to improve work processes and procedures.
Promotes training and development opportunities to enhance job performance.
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
Compares analogous situations transferring insights to new situations.
Compares the proposed solutions against each other and against any existing solutions to determine which one is likely to yield the best results.
Uses charting tools to identify patterns in data.
Remains resilient and motivated when encountering challenges or setbacks.
Clearly communicates the action plan to all employees, including team members, management, and other affected parties.
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
Organizes and schedules events, activities, and resources.
Able to organize work.
Sets long-term and short-term goals.
Effectively organizes resources and plans
Ability to establish realistic goals.
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
Views customer satisfaction as an everyday priority.
Delivers high quality products to the customer.
Builds long term relationships with customers.
Ensures every customer receives the same high standard of service, regardless of the situation.
Provides training to others on how to improve customer service.
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
Hosts forums, colloquiums, and seminars to share information and ideas.
Engages in continuous dialogue through regular meetings or virtual meetups.
Synchronizes efforts, processes, and resources with partners to enhance strategic opportunities.
Optimizes processes by leveraging each function's strength.
Supports a partnering/networking culture.
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
Makes quick and creative decisions to adjust the strategy to meet the demands of changing situations.
Makes strategic changes to stay ahead of changes in the business environment.
Identifies strengths that competitors would have trouble imitating.
Creates a SWOT matrix to help analyze data.
Develops strategies to effectively use company resources and exploit potential 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.