Decision Making - 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 .

Decision Making	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Supports, encourages or helps others to be sure about the decisions they are making.
Seeks input from key people who should be involved in, or will be affected by, decisions
Willing to consider information from other sources.
Examines for patterns in data to help predict future possibilities.
Examines relevant factors needed to make a decision.
If [Participant Name] were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?
Time Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Gets more accomplished than others in the same amount of time.
Is proactive in addressing important issues.
Stays undistracted by slower coworkers.
Manages work time and family life to bring both into balance.
Starts projects without delay.
If [Participant Name] were to make improvements in Time Management, what are your suggestions for how he/she can improve this?
Achievement	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Completed required training and certification.
Completes work to given time frame and to budget
Strives to exceed standards of performance.
Takes calculated risks to achieve higher levels of performance.
Reduces staff turnover.
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?
Safety	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Ensures that all supervisors are aware of regulatory and compliance measures.
Seeks to reduce the likelihood of accidents.
Develops a strong safety culture.
Participates in safety training when offered.
Identifies and addresses safety needs.
If [Participant Name] were to make improvements in Safety, what are your suggestions for how he/she can improve this?
Co-worker Development	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Takes immediate action on poor performance
Adapts coaching and mentoring approach to meet the style or needs of individuals
Sets and clearly communicates expectations, performance goals, and measurements to others
If [Participant Name] were to make improvements in Co-worker Development, what are your suggestions for how he/she can improve this?
Negotiation	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is resolute in positions to better withstand pressure and resist making hasty concessions.
Is resolute in positions to build trust and predictability.
Able to influence others to accept certain positions.
Clearly explains the issues and interests at the start of negotiations.
Does what it takes to ensure that the final agreement aligns with core interests.
If [Participant Name] were to make improvements in Negotiation, what are your suggestions for how he/she can improve this?
Business Acumen	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Has a good understanding of liabilities and assets.
Considers impact of actions on other areas of the organization.
Establishes clear, long-term objectives that align with the company's vision and mission.
Identifies potential regulatory risks and strategies to mitigate them.
Understands financial terminology, statements.
If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?
Organizational Fluency	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Able to explain departmental policies and procedures to others.
Understands the current organizational culture.
Adept at navigating within the culture of the department.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Understands departmental policies and procedures.
If [Participant Name] were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?
Global Perspective	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is aware of the culture, behaviors, identities and beliefs of others.
Can effectively deliver presentations to international clients.
Understands how cultures differ and how these differences impact work behavior.
Understands and appreciates the perspectives offered by others with different cultural backgrounds.
Facilitates open communication with individuals from other countries.
If [Participant Name] were to make improvements in Global Perspective, what are your suggestions for how he/she can improve this?

46. Strengths
    
    
    
47. Areas for Development
    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.