Continual Improvement - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

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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Continuous Improvement	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Aligns work processes with established best-practice approaches.
Sources better suppliers for a more efficient supply chain.
Establishes improvement teams composed of members from all functional areas.
Instills the expectation that tasks should be completed correctly on the initial attempt.
Willingly gives advice to others.
Designs production systems that can absorb disruptions and maintain output.
Promotes the adoption of Six Sigma methodologies into the production process.
Focuses on problem solving and statistical tools to improve production KPIs.
Uses engineering judgment to anticipate potential failures and implement preventive improvements.
If [Participant Name] were to make improvements in Continuous Improvement, what are your suggestions for how he/she can improve this?
Flexibility	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Performs more and varried processes on the production line.
Selects strategies according to the demands of the situation.
Recognizes and quickly adapts to shifts in the environment, market, or industry.
Is open to change and new ways of doing things.
Focuses on continuous improvement strategies.
Fosters an inclusive learning environment where everyone feels supported, ultimately leading to stronger team cohesion and increased productivity.
If [Participant Name] were to make improvements in Flexibility, what are your suggestions for how he/she can improve this?
Attitude	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Demonstrates awareness of others' time constraints and adjusts accordingly.
Engages with employees at every level in a warm, approachable manner.
Supports alternative approaches and encourages creative problem-solving when roadblocks arise.
Honors others' time by being prepared and focused.
Models adaptability and proactive engagement.
Maintains optimism by turning mistakes into actionable learning moments.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?
Delegation	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Aligns delegated tasks with employees' personal and professional aspirations for meaningful career development.
Offers support without micromanaging the employee.
Tailors delegation to each employee's learning style, pace, and confidence level.
Allows for open dialog in case the employee has questions or concerns about the delegated projects.
Effectively balances delegation and supervision of employees.
Tells subordinates what to do, not how to do it.
If [Participant Name] were to make improvements in Delegation, what are your suggestions for how he/she can improve this?
Administrative Skill	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Develops reports as needed.
Maintains good interpersonal skills to work with supervisors, customers, colleagues, and stakeholders.
Chooses precise, professional language that avoids jargon unless it is necessary and understood by the audience.
Formats and produces a variety of business related documents/reports.
Trains team members on proper document-handling procedures and organizational standards.
Communicates effectively both in writing and verbally.
If [Participant Name] were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?
Technology Use/Management	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Maximizes the use of new technology to deliver products and services.
Adopts the implementation of new technology into the workplace.
Supports employee training and development initiatives regarding implementation of technology.
Supports technical training and development of employees.
Selects the appropriate technology to meet the needs of the team.
Selects appropriate technology solutions to meet the department needs.
If [Participant Name] were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?
Collaboration	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Works with others to achieve common objectives.
Rewards collaborative efforts of team members.
Works with other experts to solve problems.
Gives consideration to the innovative ideas presented by others.
Willing to work with others to solve problems.
Collaborates to manage interpersonal disputes with a positive approach.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Co-worker Development	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Works to identify root causes of performance problems
Provides ongoing feedback to co-workers on their development progress
Adapts coaching and mentoring approach to meet the style or needs of individuals
Takes immediate action on poor performance
Sets and clearly communicates expectations, performance goals, and measurements to others
Gives others development opportunities through project assignments and increased job responsibilities
If [Participant Name] were to make improvements in Co-worker Development, what are your suggestions for how he/she can improve this?
Others	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Works across boundaries within the organization.
Constructively receives criticism and suggestions from others.
Helpful
Works effectively with people from other departments.
Forms working relationships with employees from other departments.
Respects the opinions of other employees.
If [Participant Name] were to make improvements in Others, what are your suggestions for how he/she can improve this?

58. Strengths
    
    
    
59. Areas for Development
    
    
    
60. Please give any final comments or suggestions for [Participant Name Here]'s assessment.