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
Is open to new ideas and concepts.
Pursues professional development opportunities when they arise.
Builds on their strengths while addressing their weaknesses.
Shares best practices with others and learns from others.
Pursues learning that will enhance job performance.
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
Analyzes interpersonal problems instead of reacting to them.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Steps away from a situation to process appropriate response.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Does not allow own emotions to interfere with the performance of others.
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
Understands & contributes to development of strategic goals.
Achieves goals.
Goal Setting
Achieves established goals.
Makes sure that I 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
Leverages teams and assigns specialized tasks to maximize productivity.
Works at a quick pace to avoid getting behind in work.
Accurately captures time across various tasks.
Outperforms others in productivity through effective time management.
Stops doing things that have suddenly become unnecessary or irrelevant.
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
Provides a high level of service to clients.
Uses feedback from clients to help improve services.
Delivers on commitments made to clients.
Makes client's needs a top priority.
Is committed to resolving client issues in a positive way.
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 employees to organize their schedule to best accomplish the job.
Encourages employees to expand their skills in order to take on greater responsibilities.
Recognizes the accomplishments of employees when they complete important assignments.
Supports the decisions of others even if those decisions may sometimes lead to mistakes.
Encourages independent, original thinking and creative problem-solving.
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
Compliments other people when they do good work
Makes people around them feel appreciated and valued.
Is sincerely interested in the suggestions of co-workers
Says "thank you" to show appreciation for work of others.
Recognizes individuals for a specific outstanding achievement.
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.