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
Builds on their strengths while addressing their weaknesses.
Pursues learning that will enhance job performance.
Improves on their skill sets.
Seeks opportunities to grow in skills and knowledge.
Takes the initiative to learn new skills.
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.
Consciously controls own negative emotions in order to keep team morale up.
Analyzes interpersonal problems instead of reacting to them.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
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.
Conducts timely follow-up; keeps others informed on a need to know basis.
Establishes and documents goals and objectives.
Achieves established goals.
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
Works on critical tasks as quickly as possible.
Persists with crucial assignments.
Is always on time for meetings.
Successfully completes critical tasks within deadlines.
Works quickly to keep on 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
Responds to feedback from clients.
Anticipates resources needed to meet the client needs.
Makes sure client needs are understood by the team members.
Adapts to changing client needs.
Takes the initiative in solving difficult client issues.
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
Assigns important tasks to subordinates.
Gives employees the freedom to set their own schedule.
Lets employees complete tasks according to their methods.
Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.
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 team members who offer a significant contribution to a project.
Compliments other people when they do good work
Is sincerely interested in the suggestions of co-workers
Offers recognition in a timely manner.
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.