Continual Learning - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are 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 this manager'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.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

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 .

Edit this Survey

Would you like to edit this survey? Click here to begin.

Continual Learning	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Builds on their strengths while addressing their weaknesses.
Takes the initiative to learn new skills.
Pursues professional development opportunities when they arise.
Views setbacks as opportunities to learn from.
Sets relevant learning objectives and goals.
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
Uses patience and self-control in working with customers and associates.
Does not allow own emotions to interfere with the performance of others.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Analyzes interpersonal problems instead of reacting to them.
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
Conducts timely follow-up; keeps others informed on a need to know basis.
Makes sure that team members have a clear idea of our group's goals.
Goal Setting
Achieves established goals.
Sets high expectations and goals; encourages others to support the organization.
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
Emphasizes punctuality in the department and makes sure employees know they are expected to be on time.
Uses agendas when chairing or facilitating meetings.
Addresses the most pressing needs at the beginning of the shift.
Integrates automation into the process whenever feasible.
Prepares to-do lists for the project tasks.
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
Consistently demonstrates a client focus.
Prioritizes client issues to tackle the most pressing needs first.
Maintains strong relationships with clients.
Responds to feedback from clients.
Anticipates resources needed to meet the client needs.
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 take ownership of their work.
Avoids micromanaging their employees.
Helps employees advance their skills so that they can have more autonomy.
Supports the decisions of others.
Includes others in the decision making process.
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
Readily shares credit and gives others opportunity for visibility.
Finds opportunities to recognize others.
Recognizes individuals for a specific outstanding achievement.
Is sincerely interested in the suggestions of co-workers
Reinforces and rewards employees for accomplishing necessary goals.
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.