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
Lets employees make their own decisions.
Allows employees to make their own decisions.
Sets goals to allow the employee to have more autonomy over their work.
Fosters a sense of ownership and accountability for the process/product.
Gives employees important tasks to expand their career options.
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
Inspires creativity in their team.
Is creative.
Adds value to the department/organization.
Is creative and inspirational.
Develops solutions to challenging problems.
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
Converts plans into actions.
Rapidly adapts to changes in the situation.
Addresses safety issues immediately.
Is driven to complete a high amount of work.
Changes course to meet the needs of a new situation.
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
Committed to the team.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Coordinates all department activities into a cohesive team effort.
Takes immediate action toward goals.
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
Creates opportunities and incentives for employees to learn and share knowledge with others.
Ensures that lessons learned from the partnership are disseminated and built upon.
Can easily explain the foundations (justification) for the partnership.
Establishes clear expectations at the start of a new partnership.
Utilizes partners' key strengths to create mutual advantages.
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
Tasks employees with realizing the vision.
Charts a bold course for the department's rapid evolution and expansion.
Leads with a growth-oriented mindset, driving innovation and expansion.
Concentrates employees' tasks on essential parts of the vision.
Creates a compelling vision inspires employees, giving them a sense of purpose and direction.
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.