Continual Learning - 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 5 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Continual Learning	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Seeks opportunities to grow in skills and knowledge.
Pursues self-improvement through continual learning.
Improves on their skill sets.
Takes charge of their training and skills enhancement.
Is open to new ideas and concepts.
If [Participant Name] were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?
Self Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Analyzes interpersonal problems instead of reacting to them.
Uses patience and self-control in working with customers and associates.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
If [Participant Name] were to make improvements in Self Management, what are your suggestions for how he/she can improve this?
Goals	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Makes sure that I have a clear idea of our group's goals.
Achieves goals.
Establishes and documents goals and objectives.
Sets high expectations and goals; encourages others to support the organization.
Makes sure that team members have a clear idea of our group's goals.
If [Participant Name] were to make improvements in Goals, what are your suggestions for how he/she can improve this?
Time Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Leaves time in the schedule for unplanned contingencies.
Uses agendas when chairing or facilitating meetings.
Prioritizes tasks to identify immediate and long-term objectives.
Completes high-priority work within required timelines.
Sets a good balance between work and family life.
If [Participant Name] were to make improvements in Time Management, what are your suggestions for how he/she can improve this?
Client Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Looks for opportunities that have a positive impact on Clients.
Creates customized solutions for the client.
Focuses on the unique needs of each client.
Understands the needs of the client.
Uses feedback from clients to help improve services.
If [Participant Name] were to make improvements in Client Focus, what are your suggestions for how he/she can improve this?
Empowering Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Allows individuals to be responsible for their decisions.
Encourages others to obtain necessary skills and training.
Supports the decisions of others.
Is aware of the skill levels of others.
Ensures employees understand what is being assigned to them.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?
Recognition	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Offers recognition in a timely manner.
Is sincerely interested in the suggestions of co-workers
Recognizes team members who offer a significant contribution to a project.
Compliments other people when they do good work
Makes people around them feel appreciated and valued.
If [Participant Name] were to make improvements in Recognition, what are your suggestions for how he/she can improve this?

36. Strengths
    
    
    
37. Areas for Development
    
    
    
38. Please give any final comments or suggestions for [Participant Name Here]'s assessment.