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

Please ensure that your submission is made between .

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Co-worker Development	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Sets and clearly communicates expectations, performance goals, and measurements to others
Adapts coaching and mentoring approach to meet the style or needs of individuals
Takes immediate action on poor performance
Gives others development opportunities through project assignments and increased job responsibilities
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?
Passion To Learn	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is committed to enhancing their own knowledge and skills.
Demonstrates a willingness to participate in continuing education courses.
Exhibits willingness to upgrade skills through additional training and education.
Embraces new technology and procedures.
Is open to feedback from others.
If [Participant Name] were to make improvements in Passion To Learn, what are your suggestions for how he/she can improve this?
Creativity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Pursues continuous learning as a foundation for generating creative outcomes.
Able to innovate valuable ideas for new products.
Willing to break the boundaries and think outside the box to find creative solutions.
Synthesizes learned information into innovative designs.
Fosters a creative culture that drives team engagement and productivity.
If [Participant Name] were to make improvements in Creativity, what are your suggestions for how he/she can improve this?
Punctuality	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Starts meetings on time.
Conducts appointments at scheduled start time.
Maintains an efficient schedule of activities.
Avoids making personal phone calls during working hours.
Starts the workday when scheduled.
If [Participant Name] were to make improvements in Punctuality, what are your suggestions for how he/she can improve this?
Decision Making	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Makes decisions that support the department's goals and objectives.
Integrates environmental factors that may restrict or shape decision outcomes.
Makes creative decisions.
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
Has a good rapport other people which is helpful in making decisions on the team.
If [Participant Name] were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?
Results Oriented	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Identifies what needs to be accomplished.
Directs team in prioritizing daily work activities
Defines success metrics and tracks progress against them consistently.
Flexible in adjusting priorities to meet the demands of changing situations.
Consistently meets deadlines and follows through on commitments, even when tasks require extra effort.
If [Participant Name] were to make improvements in Results Oriented, what are your suggestions for how he/she can improve this?
Excellence	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Keeps themselves and others focused on constant improvement.
Is planful and organized.
Demonstrates the analytical skills to do their job.
Takes a lot of pride in their work.
Produces high quality work.
If [Participant Name] were to make improvements in Excellence, 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.