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
Values the opinions of others.
Gives employees input into the decision making process.
Empowers employees to structure their work hours to maximize their productivity.
Allows employees to take ownership of their work.
Recognizes the accomplishments of employees when they complete important assignments.
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.
Inspires creativity in their team.
Develops solutions to challenging problems.
Is creative and inspirational.
Creates a lot of new 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
Looks for extra ways to help the department achieve performance goals.
Changes course to meet the needs of a new situation.
Works quickly when faced with difficult problems.
Fixes problems when they occur.
Initiates actions to get things done.
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.
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.
Able to focus on a task even when working alone.
Coordinates all department activities into a cohesive team 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
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Creates the conditions for partnerships to grow and develop.
Seeks an understanding of diverse functions within the Company.
Collaborates with others to accomplish goals and objectives.
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
Understands the vision of the Company and promotes it ahead of any self-interests.
Behaves in a way that is consistent with business values & code of conduct
Communicates the vision and strategy of [Company]
Works to support the strategy of [Company]
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.