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 .

Continual Learning	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Pursues self-improvement through continual learning.
Pursues learning that will enhance job performance.
Pursues professional development opportunities when they arise.
Seeks opportunities to grow in skills and knowledge.
Grasps new ideas, concepts, technical, or business knowledge.
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
Steps away from a situation to process appropriate response.
Does not allow own emotions to interfere with the performance of others.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
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
Achieves goals.
Makes sure that I have a clear idea of our group's goals.
Sets high expectations and goals; encourages others to support the organization.
Establishes and documents goals and objectives.
Goal Setting
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
Makes the most of limited time available.
Gets more accomplished than others in the same amount of time.
Stays focused on the most important tasks that need completed.
Ranks tasks based on importance to maximize available time.
Sets time limits on how much time is spent on particular tasks so that one task does not dominate the schedule.
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
Creates documents that meet the client's specifications.
Is available to respond to client needs.
Follows up with any unanswered questions from the client.
Is honest in all communication with the clients.
Gives feedback to the client regularly.
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
Gives employees input into the decision making process.
Creates a culture where employees are recognized and rewarded for taking the initiative and making impactful choices.
Gives employees autonomy to complete tasks on their own.
Encourages independent, original thinking and creative problem-solving.
Allows employees to take on more responsibilities.
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.
Reinforces and rewards employees for accomplishing necessary goals.
Recognizes the abilities and skills of self and others
Offers recognition in a timely manner.
Finds opportunities to recognize others.
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.