Establishing Focus/Direction - 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 .

Establishing Focus/Direction	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Functions well under stress, deadlines, and/or significant workloads.
Aligns the department's goals with the goals of the organization.
Excellent at managing time.
Maintains focus when handling several problems or tasks simultaneously.
Sets appropriate goals for employees.
If [Participant Name] were to make improvements in Establishing Focus/Direction, what are your suggestions for how he/she can improve this?
Change Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Supports the Company's efforts to implement changes.
Develops a strategy for implementing changes.
Supports new initiatives for organizational changes to improve effectiveness.
Able to get department employees to accept new changes.
Adopts changes to set and example for others to follow.
If [Participant Name] were to make improvements in Change Management, what are your suggestions for how he/she can improve this?
Accountability	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Takes responsibility for errors and actively works to correct them.
Accepts personal responsibility for their actions.
Commits to leading the initiatives to solving critical issues.
Consistently strives to meet high standards of excellence.
Is personally invested in the success of the organization.
If [Participant Name] were to make improvements in Accountability, what are your suggestions for how he/she can improve this?
Integrity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Maintains strong relationships with others.
Protects the integrity and confidentiality of information
Follows tasks to completion.
Fosters an environment built upon trust.
Accepts responsibility for mistakes.
If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?
Feedback	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Considers other's opinion and suggestions.
Is easy to approach with ideas and opinions.
Seeks feedback to enhance performance.
Accepts the views of others.
Looks to others for input.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?
Managing Risk	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Uses risk management to remain in compliance with regulations.
Responds appropriately to unexplained or unanticipated events.
Effectively responds to critical situations to reduce potential for losses.
Effectively manages risk for the department.
Anticipates the consequences of different potential risk events.
If [Participant Name] were to make improvements in Managing Risk, what are your suggestions for how he/she can improve this?
Safety	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Keeps accurate safety records.
Performs work safely.
Points out behaviors in others that may be unsafe.
Supports safety programs and procedures.
Develops a sustainable safety culture.
If [Participant Name] were to make improvements in Safety, what are your suggestions for how he/she can improve this?
Interpersonal Skills	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Communicates well at all levels of the organization.
Maintains a high degree of honesty and integrity.
Strives for win/win solutions
Demonstrates compassion and understanding of others.
Honesty and integrity are core tenets of interpersonal relationships.
If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?
Empowering Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Set clear goals for assignments.
Creates opportunities for employees to exercise their independence.
Listens to the ideas employees have for solving issues.
Recognizes the importance of a healthy work/life balance.
Assigns important tasks to subordinates.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?
Teamwork	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Communicates well with team members.
Helps the team balance analysis with decisiveness in making decisions.
Helps the team bounce back from obstacles to progress.
Comes across as a reliable, committed team member
Promotes open communication on the team.
If [Participant Name] were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?

51. Strengths
    
    
    
52. Areas for Development
    
    
    
53. Please give any final comments or suggestions for [Participant Name Here]'s assessment.