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
Gives responsibility for making important decisions to employees.
Lets employees make their own decisions.
Lets employees complete tasks according to their methods.
Set clear goals for assignments.
Ensures employees understand what is being assigned to them.
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
Adds value to the department/organization.
Is creative and inspirational.
Creates a lot of new ideas.
Develops solutions to challenging problems.
Is creative.
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
Effectively makes decisions
Is not afraid to take corrective action when necessary.
Does whatever it takes (within reason) to get the job done.
Gets the job done.
Drives and mobilizes others progress toward goals.
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
Takes immediate action toward goals.
Maintains persistence and dedication to achieving results.
Coordinates all department activities into a cohesive team effort.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Able to focus on a task even when working alone.
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
Partners with peers to obtain influence within the Company.
Creates the conditions for partnerships to grow and develop.
Maintains infrastructure to support partnerships and networks.
Supports a partnering/networking culture.
Builds alliances between departments and teams.
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
Develops action plans to align his/her work with the goals of the organization
Behaves in a way that is consistent with business values & code of conduct
Understands the vision of the Company and promotes it ahead of any self-interests.
Communicates a vision of where the Company needs to be in the future.
Demonstrates consistency between words and actions
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.