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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Continual Improvement	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Looks for ways to expand and learn new job skills.
Looks for ways to improve work processes and procedures.
Looks for ways to expand current job responsibilities.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Promotes training and development opportunities to enhance job performance.
Open to the suggestions from others.
Analyzes processes to determine areas for improvement.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Fosters a culture of open communication and continuous improvement.
If [Participant Name] were to make improvements in Continual 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
Considers alternative approaches to overcome obstacles.
Capable of adapting workflows to accommodate new regulations or policies.
Able to change or adjust processes to accommodate changes in equipment or supplies.
Actively listens to others, considers their viewpoints, and incorporates these insights into the decision-making process.
Fosters a culture of flexibility and agility.
Encourages open communication and collaboration, allowing everyone to contribute their ideas and perspectives.
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
Shows vulnerability by asking for help or clarity when needed, normalizing shared learning.
Views feedback as a tool for improvement rather than a threat to ego.
Honors others' time by being prepared and focused.
Steps forward and volunteers to support time-sensitive tasks without being asked, especially when others are unavailable.
Proactively seeks feedback to refine outcomes, not out of obligation but a desire to elevate quality.
Treats all people fairly and with respect.
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
Provides clear expectations but allows for flexibility.
Effectively balances delegation and supervision of employees.
Assigns responsibilities that leverage employees' specialized knowledge for optimal efficiency and results.
Sets deadlines and defines success criteria for delegated tasks.
Offers tools, training, and any additional guidance as needed.
Provides oversight while ensuring employees have enough independence to perform effectively.
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
Coordinates actions and activities with others.
Identifies complex problems and reviews related information to develop and evaluate options and implement solutions.
Prepares and organizes presentations.
Prioritizes tasks to be completed within pre-established deadlines.
Takes time to grasp the points being made, and ensures individuals feel heard.
Researches travel options finding the most cost-effective or time-efficient transportation methods, such as flights, trains, or car rentals.
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
Supports employee training and development initiatives regarding implementation of technology.
Proficient in the use of technical systems and processes.
Uses technology in decision making and problem solving.
Supports technical training and development of employees.
Adopts the implementation of new technology into the workplace.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
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
Consults with other partners on issues.
Effectively uses digital tools do you use to improve collaboration in the department.
Contributes resources and knowledge to support others' success.
Actively seeks opportunities to work with colleagues to address and resolve challenges.
Utilizes digital tools to enhance collaborative efforts in creating process and policy documents.
Works with others to pool knowledge, ideas and resources to provide deeper insights into difficult issues.
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
Sets and clearly communicates expectations, performance goals, and measurements to others
Gives others development opportunities through project assignments and increased job responsibilities
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
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
Supports the efforts of other employees in implementing solutions to problems.
Constructively receives criticism and suggestions from others.
Respects the opinions of other employees.
Forms working relationships with employees from other departments.
Is able to see issues from others' perspectives.
Able to see issues from others' perspectives.
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.