Engagement- 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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Engagement	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Comes to work each day with a high level of energy and professionalism.
Provides a level of enthusiasm that makes collaboration for the team more enjoyable and rewarding.
Allows employees to have flexibility over when tasks are to be completed.
Puts in extra effort to be recognized by peers and leaders.
Considers employee input when decisions are made.
If [Participant Name] were to make improvements in Engagement, what are your suggestions for how he/she can improve this?
Persuasion and Influence	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Aligns proposals with factual trends or performance benchmarks to underscore relevance and urgency.
Builds an interpersonal rapport with clients and customers to more successfully persuade them to purchase specific products.
Strategically connects individual and team objectives to market trends.
Listens attentively to others to better understand their points of view.
Uses a high personal reputation to gain acceptance from others for a point of view.
If [Participant Name] were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?
Continual Learning	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Pursues self-improvement through continual learning.
Takes charge of their training and skills enhancement.
Is open to new ideas and concepts.
Pursues professional development opportunities when they arise.
Improves on their skill sets.
If [Participant Name] were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?
Cultural Awareness	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Encourages a work environment where individual differences are valued.
Responds thoughtfully to culturally influenced communication styles and preferences.
Is open and honest in communications with individuals from other cultures.
Demonstrates fairness and impartiality when resolving conflicts involving cultural differences
Recognizes how cultural context influences employee motivation, communication, and collaboration.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?
Project Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Ensures the project is executed on time and on budget.
Makes sure all team members understand their roles.
Presents clear and accurate status information to required constituents.
Initiates large projects.
Ensures that the project remains at or under budget.
If [Participant Name] were to make improvements in Project Management, what are your suggestions for how he/she can improve this?
Regulatory/Compliance	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Offers training to employees to ensure they comply with regulations.
Develops the appropriate incentives (or disincentives) for regulatory compliance.
Establishes a governance body to monitor and guide the organization's activities.
Keeps detailed records of compliance measures.
Designs automated workflows to streamline compliance data collection and reporting.
If [Participant Name] were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?
Strategic Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Identifies strengths that competitors would have trouble imitating.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Supports changes being recommended from senior management.
Aligns cross-functional teams to the strategic plan.
Inspires employees to adopt the strategic plan.
If [Participant Name] were to make improvements in Strategic Focus, what are your suggestions for how he/she can improve this?

36. Strengths
    
    
    
37. Areas for Development
    
    
    
38. Please give any final comments or suggestions for [Participant Name Here]'s assessment.