Establishing Focus/Direction - 360 Degree Feedback Survey Template #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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Establishing Focus/Direction	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Helps guide employees with prioritizing tasks.
Plans responses to potential risks or unforeseen challenges to minimize disruption.
Defines clear deliverables, timelines, and quality thresholds for each role or project.
Redirects efforts when team members drift from core objectives or timelines.
Leads by example to guide employees in the completion of tasks.
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
Obtains input and feedback from stakeholders affected by changes.
Plans and initiates effective departmental and organizational changes.
Introduces structural changes to the team/department.
Hosts workshops and brainstorming sessions to solicit feedback and solutions from employees on the changes.
Leverages the experience and clout of senior leadership to be advocates for change.
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
Develops goals and establishes objective measures of success.
Projects an image of transparency and trustworthiness in the administration of fair and equitable policies.
Accepts personal responsibility for the timeliness of work.
Informs the supervisor if progress on the task has been delayed.
Establishes minimum performance standards.
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
Remains true to core values and principles, demonstrating respect and self-control even in challenging situations.
Distributes the workload evenly among all team members.
Upholds strong moral and ethical standards, even when faced with challenges or temptations to compromise.
Is highly productive by efficiently managing time and resources to contribute significantly to the team's goals.
Can be trusted to do the right thing.
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
Uses performance feedback as a tool for employee development.
Uses data, metrics, or documented observations to support feedback.
Cultivates a positive atmosphere by providing feedback, guidance, and support.
Builds an atmosphere that fosters open communication, mutual respect, and perpetual growth to enable effective feedback exchanges between managers and their teams.
Ensures that any concerns raised through feedback are resolved.
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
Decides what actions will be taken.
Maintains open communication with other departments.
Determines the impact of specific risks on infrastructure.
Prioritizes the risks to determine the most pressing needs.
Determines the impact of specific risks on finances.
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
Supports our company's safety programs.
Commits adequate resources toward safety measures.
Points out behaviors in others that may be unsafe.
Identifies predictable hazards in the workplace.
Supports safety programs and procedures.
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
Comes across as credible, knowledgeable and sincere
Uses knowledge and charisma rather than position, power, or coercion to influence others
Able to work with individuals at all levels of the Company.
Builds a strong rapport with co-workers.
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 for flexibility in the working hours.
Avoids micromanaging their employees.
Allows employees the freedom to do tasks how they see fit, but holds them accountable for obtaining results.
Listens to the ideas employees have for solving issues.
Gives responsibility for making important decisions to employees.
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
Willingly share their technical expertise
Creates a climate that encourages team participation.
Appreciates the input from other team members.
Makes sure each team member participates in the task.
Facilitates team discussions and problem-solving
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.