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
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?
Passion To Learn	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Creates an environment that supports personal development and exploration.
Exhibits willingness to upgrade skills through additional training and education.
Enjoys learning new skills and techniques.
Is open minded and curious about learning new skills.
Constantly enhances product knowledge through experimentation and play.
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
Creates a lot of new ideas.
Develops solutions to challenging problems.
Adds value to the department/organization.
Is creative.
Is creative and inspirational.
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.
Avoids making personal phone calls during working hours.
Responds to requests for information in a timely manner.
Starts the workday when scheduled.
Invoices clients on a timely basis.
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
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
Does not lose sight of the big picture when making decisions
Exercises good judgment by making sound and informed decisions.
Is able to make decisions quickly.
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
Helps others when free-time is available.
Works toward achievement of goals even when confronted with obstacles.
Encourages a high-energy, fun work environment and coaches others on how to do the same
Stays focused on meeting the needs of customers.
Inspires and motivates co-workers to be productive and energetic at work
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
Takes a lot of pride in their work.
Can be counted on to add value wherever they are involved.
Demonstrates the analytical skills to do their job.
Produces high quality work.
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.