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
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
Seeks input from key people who should be involved in, or will be affected by, decisions
Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
Does not lose sight of the big picture when making decisions
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
Uses agendas when chairing or facilitating meetings.
Deals effectively with interruptions.
Does not procrastinate.
Makes time for developing plans and schedules.
Sets clearly defined goals.
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
Strives to meet goals and objectives.
Is flexible in adjusting priorities to meet the demands of changing situations.
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Completes work promptly and efficiently.
Uses established goals and performance measures to keep track of performance.
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
Creates accurate and effective measures of safety.
Ensures compliance with safety regulations.
Performs work safely.
Identifies predictable hazards in the workplace.
Participates in safety training as applicable.
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
Takes immediate action on poor performance
Adapts coaching and mentoring approach to meet the style or needs of individuals
Provides ongoing feedback to co-workers on their development progress
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
Researches the needs of the other party to identify strengths and weaknesses of positions.
Conducts necessary preparations before engaging in negotiations.
Able to control their emotional responses and correctly gauge the emotions of others.
Is flexible in responses.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
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
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Asks the 'right' questions to size up or evaluate situations.
Considers impact of actions on other areas of the organization.
Able to align resources to meet the business needs of the company.
Applies the knowledge of work processes to influence the achievement of business goals
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
Understands departmental policies and procedures.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Able to explain departmental policies and procedures to others.
Adept at navigating within the culture of the department.
Anticipates problems that may affect the department.
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
Understands how cultures differ and how these differences impact work behavior.
Is able to work with individuals having different backgrounds and cultures.
Demonstrates working knowledge of global transactions.
Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
Has positive interactions with individuals from different cultures and backgrounds.
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.