Continual Learning - 360 Degree Feedback Survey Sample #1

Instructions:

The is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses, and will be not making any changes, click the Complete button.

Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Continual Learning	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Sets relevant learning objectives and goals.
Builds on their strengths while addressing their weaknesses.
Grasps new ideas, concepts, technical, or business knowledge.
Shares best practices with others and learns from others.
Pursues self-improvement through continual learning.
If were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?
Continual Improvement	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Looks for ways to expand current job responsibilities.
Looks for ways to expand and learn new job skills.
Open to the suggestions from others.
Promotes training and development opportunities to enhance job performance.
Looks for ways to improve work processes and procedures.
If were to make improvements in Continual Improvement, what are your suggestions for how he/she can improve this?
Communication Skills	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Asks follow-up questions as needed.
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
Able to deliver presentations.
Listens to others' points of view with an open mind
Communications with department leadership
If were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?
Leadership	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Demonstrates leadership and courage in critical situations.
Gives direct, constructive, and actionable feedback.
Takes ownership and accountability for results
Effectively leads others.
Able to influence others.
If were to make improvements in Leadership, what are your suggestions for how he/she can improve this?
Persuasion and Influence	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Seeks to obtain consensus or compromise.
Communicates effectively with others.
Understanding what others need.
Has excellent influencing/negotiating skills.
Able to express own goals and needs.
If were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?
Decision Making	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Exercises good judgment by making sound and informed decisions.
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
Asks for additional information when making critical decisions.
Does not lose sight of the big picture when making decisions
Seeks input from key people who should be involved in, or will be affected by, decisions
If were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?
Commitment To Result	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Committed to the team.
Coordinates all department activities into a cohesive team effort.
Maintains persistence and dedication to achieving results.
Takes immediate action toward goals.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
If were to make improvements in Commitment To Result, what are your suggestions for how he/she can improve this?
Interpersonal Skills	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Values the opinions of others.
Effectively manages conflicts by dealing with them directly and immediately
Uses tact, compassion, and sensitivity in interactions with others.
Adapts management style to meet the needs of the individual or situation.
Demonstrates willingness to work with others.
If were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?
Developing Others	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Encourages employees through recognition of positive changes in behavior.
Assigns tasks and responsibilities to develop skills of others.
Creates a work environment that fosters positive feedback to employees.
Assesses employees' developmental needs.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
If were to make improvements in Developing Others, what are your suggestions for how he/she can improve this?
Global Perspective	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Aligns personal vision with global strategies.
Sets the example for team on importance of cultural awareness.
Can effectively deliver presentations to international clients.
Analyzes global issues/problems that are having a large impact on the Company.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
If were to make improvements in Global Perspective, what are your suggestions for how he/she can improve this?

51. What are 's greatest strengths demonstrated this year?
    
    
    
52. What are 's areas for development?
    
    
    
53. Please give any final comments or suggestions for 's assessment.