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
Views the issues from multiple perspectives before making a decision.
Weighs the pros and cons of decisions.
Performs a cost/benefit analysis before making a decision.
Is able to learn from mistakes.
Recognizes and generates innovative solutions.
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
Wastes very little time.
Focuses time on the important tasks that add significant value.
Completes tasks ahead of schedule.
Deals effectively with interruptions.
Achieves high output to meet deadlines.
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
Makes use of talents of others to help achieve a high level of performance.
Takes calculated risks.
Met required benchmarks for the position.
Completes work to a high technical standard
Accepts setbacks and challenges as improvement opportunities
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
Develops a sustainable safety culture.
Supports safety programs and procedures.
Participates in safety training when offered.
Creates accurate and effective measures of safety.
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
Adapts coaching and mentoring approach to meet the style or needs of individuals
Provides ongoing feedback to co-workers on their development progress
Gives others development opportunities through project assignments and increased job responsibilities
Takes immediate action on poor performance
Works to identify root causes of performance problems
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
Establishes good working relationships with others.
Stays calm and focuses on the core issues to be discussed.
Maintains good interpersonal relationships with representatives from the other party.
Changes communication styles to meet the listener's needs.
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
Identifies potential regulatory risks and strategies to mitigate them.
Can effectively interpret and analyze data.
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Anticipates marketplace opportunities and supports speed to market.
Able to correctly assess current/estimated valuations.
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
Gets things done through the department.
Able to deal with sensitive issues with tact and professionalism.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Adept at navigating within the culture of the department.
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
Aligns personal vision with global strategies.
Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
Analyzes global issues/problems that are having a large impact on the Company.
Respects individual differences.
Builds working relationships with others across cultures.
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.