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

Please ensure that your submission is made between .

Co-worker Development	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Works to identify root causes of performance problems
Takes immediate action on poor performance
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
Adapts coaching and mentoring approach to meet the style or needs of individuals
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 open to feedback from others.
Demonstrates through personal behavior the commitment to high standards of performance.
Constantly enhances product knowledge through experimentation and play.
Creates an environment that supports personal development and exploration.
Takes initiative for own learning and development.
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
Develops solutions to challenging problems.
Conceives, implements and evaluates ideas.
Inspires creativity in their team.
Is creative and inspirational.
Adds value to the department/organization.
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
Arrives to meetings on time.
Invoices clients on a timely basis.
Responds to requests for information in a timely manner.
Avoids making personal phone calls during working hours.
Maintains an efficient schedule of activities.
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
Is aware of the impact of decisions and informs others about potential outcomes.
Effectively chooses appropriate courses of action.
Takes into account the impact decisions will have on others.
Makes decisions independently (without having to be told what or how).
Examines for patterns in data to help predict future possibilities.
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
Flexible in adjusting priorities to meet the demands of changing situations.
Determines the parts of the project that need completed first.
Willing to adapt to new procedures to maintain production capacities.
Adapts to disruptions in the supply chain to maintain production levels.
Works toward achievement of goals even when confronted with obstacles.
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
Produces high quality work.
Demonstrates the analytical skills to do their job.
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
Is planful and organized.
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.