Establishing Focus/Direction - 360 Degree Feedback Survey Sample #7

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 and .

Establishing Focus/Direction	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Excellent at managing time.
Sets appropriate goals for employees.
Aligns the department's goals with the goals of the organization.
Maintains focus when handling several problems or tasks simultaneously.
Functions well under stress, deadlines, and/or significant workloads.
If 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
Adopts changes to set and example for others to follow.
Effective in implementing new organizational vision and values.
Effective in dealing with ambiguous and challenging situations.
Addresses organizational and departmental resistance to changes.
Supports the Company's efforts to implement changes.
If 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
Acts like an owner when they make decisions.
Creates a consistent process for prioritizing work.
Implements and facilitates controls and processes that maintain the integrity of the organization.
Is someone you can trust.
Develops goals and establishes objective measures of success.
If 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.
Establishes relationships of trust, honesty, fairness, and integrity.
Does what was promised.
Accepts responsibility for mistakes.
Develops trust and confidence from others.
If 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
Asks others for their ideas and opinions.
Accepts the views of others.
Is visible and approachable.
Open to the suggestions of others.
Looks to others for input.
If 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
Knows how to obtain desired results with minimal losses.
Seeks to maintain the long-term viability of the Company.
Responds appropriately to unexplained or unanticipated events.
Able to adapt quickly to changing situations.
Works within constraints of the organization.
If 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.
Supports safety programs and procedures.
Points out behaviors in others that may be unsafe.
Commits adequate resources toward safety measures.
Participates in safety training as applicable.
If 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
Demonstrates willingness to work with others.
Is open and approachable
Values the opinions of others.
Creates an atmosphere that supports the open expression of ideas
Adapts management style to meet the needs of the individual or situation.
If 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
Provides support and resources needed to accomplish goals.
Allows individuals to be responsible for their decisions.
Sets clear goals for others to accomplish.
Encourages others to obtain necessary skills and training.
Distributes the workload to subordinates.
If 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.
Actively participates as a team member
Willingly share their technical expertise
Encourages open communication
Carries his/her share of the workload
If 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 's assessment.