Empowering Others- 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 .

Empowering Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Lets employees make their own decisions.
Encourages employees to make informed decisions based on their own judgment and reasoning.
Enables employees to take on more challenging roles.
Encourages employees to solve problems on their own.
Assigns tasks that allow employees to use their critical thinking skills.
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
Develops solutions to challenging problems.
Conceives, implements and evaluates ideas.
Adds value to the department/organization.
Creates a lot of new ideas.
Is creative and inspirational.
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
Acts quickly to create innovative products and services.
Is driven to complete a high amount of work.
Seeks new opportunities for advancement.
Is not afraid to take corrective action when necessary.
Takes the initiative and does not wait for the situation to change.
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
Coordinates all department activities into a cohesive team effort.
Takes immediate action toward goals.
Able to focus on a task even when working alone.
Encourages commitment in others to obtain results.
Willing to do whatever it takes-not afraid to have to put in extra effort.
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
Establishes regular check-ins to ensure alignment and address any emerging issues.
Participates in conflict resolution to find mutually beneficial solutions.
Networks with clients to determine improvements in operations.
Networks with other professionals in the industry to understand best practices.
Searches for a common solution to shared problems or issues.
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
Inspires and motivates employees through an influential vision.
Articulates a vision for the department that is aligned with the division/company's vision.
Leads with a growth-oriented mindset, driving innovation and expansion.
Designs and implements a forward-looking vision for the company.
Defines an ideal image for what the department should look like in the 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.