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.
Takes charge of their training and skills enhancement.
Pursues self-improvement through continual learning.
Pursues professional development opportunities when they arise.
Participates in regular training offered.
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.
Consciously controls own negative emotions in order to keep team morale up.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Steps away from a situation to process appropriate response.
Uses patience and self-control in working with customers and associates.
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
Sets high expectations and goals; encourages others to support the organization.
Understands & contributes to development of strategic goals.
Goal Setting
Achieves established goals.
Establishes and documents goals and objectives.
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
Sets a good balance between work and family life.
Deals effectively with interruptions.
Avoids distractions in the workplace.
Does not become flustered by deadlines and timelines.
Sets clearly defined goals.
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
Ensures client commitments and requirements are met or exceeded
Maintains strong relationships with clients.
Satisfies client needs.
Is pro-active in dealing with clients and addressing their needs.
Obtains feedback to ensure client needs are being met.
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 responsibility for making important decisions to employees.
Allows the employees to have flexible work schedules.
Trusts employees are able to complete assigned tasks.
Lets employees complete tasks according to their methods.
Set clear goals for assignments.
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
Recognizes the abilities and skills of self and others
Is sincerely interested in the suggestions of co-workers
Compliments other people when they do good work
Lets employees know when they have done well
Says "thank you" to show appreciation for work of 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.