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 .

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Empowering Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Lets employees complete tasks according to their methods.
Allows employees to take ownership of their work.
Sets goals to allow the employee to have more autonomy over their work.
Encourages others to obtain necessary skills and training.
Allows individuals to be responsible for their decisions.
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.
Inspires creativity in their team.
Is creative.
Conceives, implements and evaluates ideas.
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
Identifies needs and takes steps to address them.
Moves forward on important projects.
Takes responsibility for actions.
Pursues goals with action to achieve success.
Addresses performance issues quickly.
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.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
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
Ensures that lessons learned from the partnership are disseminated and built upon.
Nurtures partnerships with key individuals in the industry to stay on top of the latest trends and best practices.
Establishes collaborative business relationships to unlock and enhance growth opportunities.
Builds trust with colleagues at other companies to form partnerships to promote growth.
Inspires employees to seek out new collaboration opportunities to broaden market reach.
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 a vision to inspire collective action.
Pinpoints challenges and devises strategies.
Shapes the department's vision into actionable goals.
Supports a culture of the department that is willing to implement the company's vision.
Persuades others to follow the Company's vision.
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.