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
Works to identify root causes of performance problems
Adapts coaching and mentoring approach to meet the style or needs of individuals
Provides ongoing feedback to co-workers on their development progress
Takes immediate action on poor performance
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
Takes initiative for own learning and development.
Demonstrates through personal behavior the commitment to high standards of performance.
Enhances value to the company through additional training and development.
Embraces new technology and procedures.
Creates an environment that supports personal development and exploration.
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
Inspires creativity in their team.
Adds value to the department/organization.
Is creative.
Creates a lot of new ideas.
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
Responds to requests for information in a timely manner.
Arrives to meetings on time.
Invoices clients on a timely basis.
Maintains an efficient schedule of activities.
Starts meetings on time.
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
Takes into account the impact decisions will have on others.
Effectively chooses appropriate courses of action.
Open to the suggestions from subordinates.
Learns from previous bad decisions and rarely repeats them.
Defines parameters that will impact the decision making process.
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
Holds others accountable for producing high quality work.
Completed work exceeds standards.
Flexible and willing to change the strategy to better achieve the objectives.
Explains the "whys" behind organizational objectives
Measures progress toward the goal.
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.
Demonstrates the functional or technical skills necessary to do their job.
Demonstrates the analytical skills to do their job.
Takes a lot of pride in their work.
Can be counted on to add value wherever they are involved.
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.