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
Aligns the department's goals with the goals of the organization.
Maintains self-control when personally criticized.
Sets appropriate goals for employees.
Functions well under stress, deadlines, and/or significant workloads.
Excellent at managing time.
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
Works cooperatively with others to implement changes.
Develops plans for following through on the changes.
Facilitates change with minimal resistance.
Is a leading force driving 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
Does not make excuses for being late for work.
Willingly accepts the consequences for their actions.
Holds employees responsible if expectations are not met.
Fully embraces the responsibilities that contribute to our departmental success.
Provides clear reasons for underperformance.
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
Protects the integrity and confidentiality of information
Demonstrates honesty and truthfulness at all times.
Fosters an environment built upon trust.
Establishes relationships of trust, honesty, fairness, and integrity.
Fosters a high standard of ethics and integrity.
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
Seeks feedback to enhance performance.
Looks to others for input.
Is easy to approach with ideas and opinions.
Accepts the views of others.
Shares past experiences with others as learning opportunities.
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
Understands the possible financial risks of different events.
Implements strategic risk management in an objective and tactical way.
Increases business resilience.
Is aware of the financial implications of certain risks.
Uses risk management to make better strategic decisions.
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
Ensures compliance with safety regulations.
Participates in safety training when available.
Develops a sustainable safety culture.
Committed to safety in the workplace.
Participates in safety training as applicable.
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
Effectively manages conflicts by dealing with them directly and immediately
Willing to overlook personal differences and focus on completing the task at hand.
Applies appropriate communication techniques to the situation.
Appreciates the extra efforts made by coworkers.
Addresses critical customer issues in a timely manner.
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
Allows the team to take responsibility for the project.
Allows the employees to have flexible work schedules.
Enables team members to make their own decisions on the project.
Trusts employees are able to complete assigned tasks.
Recognizes and rewards employees who make important decisions and take action when necessary.
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
Takes the time to listen to the team's ideas.
Works well with other team members.
Facilitates effective decision-making practices to further develop the team.
Treats other team members with respect.
Encourages other team members to adopt new procedures.
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.