Continuous Improvement - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

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 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

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Continuous Improvement	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Looks for ways to expand and learn new job skills.
Designs production systems that can absorb disruptions and maintain output.
Reinforces a first-time-right mindset among employees.
Actively removes obstacles that limit employees' ability to drive improvements in their work.
Implements small, rapid adjustments that optimizes speed, accuracy, and output quality.
Builds relationships with leaders in other functions to coordinate improvement priorities and avoid siloed efforts.
Shares newly learned techniques or insights with coworkers to strengthen team capability and spread best practices.
Integrates technical know-how to upgrade and streamline production lines.
Seeks continual improvement in employee performance and satisfaction measures.
If [Participant Name] were to make improvements in Continuous Improvement, what are your suggestions for how he/she can improve this?
Flexibility	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Quickly adapts to new circumstances, challenges, or opportunities as they arise.
Is open to change and new ways of doing things.
Adapts the onboarding experience to meet the unique needs of each new employee.
Innovates skills and modifies behaviors to remain flexible in addressing important issues.
Able to maintain productivity and effectiveness no matter the context.
Maintains an adaptive mindset crucial for navigating the dynamic challenges and opportunities that arise in business environments.
If [Participant Name] were to make improvements in Flexibility, what are your suggestions for how he/she can improve this?
Attitude	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Does not focus on or well on differences in rank or status.
Is teachable and curious tending to foster innovation and build stronger relationships.
Welcomes challenging assignments as opportunities to stretch and grow.
Models resilience in the face of adversity.
Steps forward and volunteers to support time-sensitive tasks without being asked, especially when others are unavailable.
Offers to lead new initiatives, pilot programs, or improvement efforts to advance team goals.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?
Delegation	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Determines each employee's readiness for new challenges based on past performance.
Uses delegation as a powerful opportunity to train employees.
Gives the employees the freedom to approach tasks with their own skills and judgment, fostering creativity and problem-solving.
Sets expectations for communication and progress updates while respecting employees' working styles.
Encourages employees to take on greater responsibilities.
Assigns tasks to help build the skill sets of subordinates.
If [Participant Name] were to make improvements in Delegation, what are your suggestions for how he/she can improve this?
Administrative Skill	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Uses clear, professional language and avoids unnecessary jargon to keep the message accessible.
High attention to detail.
Maintains organized workspaces, files, and documentation to support efficient, professional operations.
Receives and welcomes visitors.
Clearly and effectively communicates information verbally.
Accurately implements contract provisions.
If [Participant Name] were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?
Technology Use/Management	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Supports employee training and development initiatives regarding implementation of technology.
Proficient in the use of technical systems and processes.
Selects appropriate technology solutions to meet the department needs.
Adopts the implementation of new technology into the workplace.
Maximizes the use of new technology to deliver products and services.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
If [Participant Name] were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?
Collaboration	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Collaborates across departmental boundaries and finds common ground with a wide range of stakeholders.
Uses group decision making.
Builds and strengthens relationships to improve collaboration and leadership.
Utilizes digital tools to enhance collaborative efforts in creating process and policy documents.
Effectively uses digital tools to improve collaboration in the department.
Effectively works with others to create solutions to problems.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Co-worker Development	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Works to identify root causes of performance problems
Takes immediate action on poor performance
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Sets and clearly communicates expectations, performance goals, and measurements to others
Provides ongoing feedback to co-workers on their development progress
If [Participant Name] were to make improvements in Co-worker Development, what are your suggestions for how he/she can improve this?
Others	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Consistently demonstrates ability and willingness to trust others.
Constructively receives criticism and suggestions from others.
Respects the opinions of other employees.
Forms working relationships with employees from other departments.
Treats others with respect and dignity.
Works effectively with people from other departments.
If [Participant Name] were to make improvements in Others, what are your suggestions for how he/she can improve this?

58. Strengths
    
    
    
59. Areas for Development
    
    
    
60. Please give any final comments or suggestions for [Participant Name Here]'s assessment.