Empowering Others- 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 .

Empowering Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Assigns tasks that are within the skill levels of employees.
Encourages others to obtain necessary skills and training.
Allows individuals to be responsible for their decisions.
Trusts employees with important responsibilities.
Allows for flexibility in the working hours.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?
Creativity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is creative and inspirational.
Creates a lot of new ideas.
Conceives, implements and evaluates ideas.
Adds value to the department/organization.
Inspires creativity in their team.
If [Participant Name] were to make improvements in Creativity, what are your suggestions for how he/she can improve this?
Action	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Takes responsibility for meeting performance standards.
Works at a quick pace.
Immediately develops alternatives and solutions when presented with a problem or issue.
Prepares equipment at the start of the shift.
Effectively handles multiple complex issues simultaneously.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?
Commitment To Result	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Maintains persistence and dedication to achieving results.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Coordinates all department activities into a cohesive team effort.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
If [Participant Name] were to make improvements in Commitment To Result, what are your suggestions for how he/she can improve this?
Partnering/Networking	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Nurtures a collaborative and inclusive environment that encourages knowledge sharing and continuous learning.
Facilitates cross-functional collaboration and information sharing between various stakeholders.
Actively prevents conflicts by identifying issues early and resolving them promptly.
Partners with peers to obtain influence within the Company.
Nurtures partnerships with key individuals in the industry to stay on top of the latest trends and best practices.
If [Participant Name] were to make improvements in Partnering/Networking, what are your suggestions for how he/she can improve this?
Vision	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Recognizes potential challenges and devises comprehensive strategies to navigate and mitigate these difficulties.
Behaves in a way that is consistent with business values & code of conduct
Develops a vision to inspire collective action.
Is a positive influence on employees, encouraging them to take the initiative and be proactive in their roles.
Develops an inspiring and ambitious vision for the organization's future.
If [Participant Name] were to make improvements in Vision, what are your suggestions for how he/she can improve this?

31. Strengths
    
    
    
32. Areas for Development
    
    
    
33. Please give any final comments or suggestions for [Participant Name Here]'s assessment.