Decision Making - 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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Decision Making	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Asks for additional information when making critical decisions.
Views the long and short-term impact of decisions.
Seeks input from key people who should be involved in, or will be affected by, decisions
Examines for patterns in data to help predict future possibilities.
Formulates imaginative 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
Manages the workload effectively in order to stay on schedule.
Keeps and maintains a To-Do list.
Orders tasks based on impact and urgency.
Excellent at keeping track of time.
Prioritizes tasks to identify immediate and long-term objectives.
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
Sets performance metrics to measure achievement or attainment of goals.
Strives to meet goals and objectives.
Eliminates bureaucratic barriers to streamline processes.
Increased customer satisfaction scores for the quarter.
Establishes stretch goals to advance skills and output.
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
Participates in safety training when offered.
Ensures that all supervisors are aware of regulatory and compliance measures.
Develops a strong safety culture.
Is aware of OSHA safety guidelines.
Participates in safety training when available.
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
Works to identify root causes of performance problems
Adapts coaching and mentoring approach to meet the style or needs of individuals
Takes immediate action on poor performance
Sets and clearly communicates expectations, performance goals, and measurements to others
Gives others development opportunities through project assignments and increased job responsibilities
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.
Aims for solutions that benefit both parties.
Does what it takes to ensure that the final agreement aligns with core interests.
Finds shared interests and solutions that benefit all parties involved.
Is able to decline bad ideas to avoid making poor decisions.
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 business operations to more effectively align company services to meet the needs of its customers.
Understands our competitors and their strengths and weaknesses.
Views problems from a business perspective, opportunity, investment, risks, and anticipated results
Knows how to use financial information to make an impact on the organization.
Works cooperatively with others to implement business changes.
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 deal with sensitive issues with tact and professionalism.
Able to explain departmental policies and procedures to others.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Understands departmental policies and procedures.
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
Facilitates open communication with individuals from other countries.
Applies knowledge of overseas markets.
Communicates effectively on a multi-lingual basis.
Able to listen and understand others and discuss issues in a respectful way.
Volunteers for experiences and assignments abroad.
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.