Establishing Focus/Direction - 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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Establishing Focus/Direction	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Functions well under stress, deadlines, and/or significant workloads.
Stays focused even when under pressure and stress.
Maintains focus when handling several problems or tasks simultaneously.
Aligns the department's goals with the goals of the organization.
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.
Effective in implementing new organizational vision and values.
Develops plans for following through on the changes.
Inspires others to want to change.
Able to get team members to change their attitudes.
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
Willingly accepts the obligation to complete the task.
Develops goals and establishes objective measures of success.
Takes full responsibility for team's lack of progress.
Consults with the supervisor before engaging in new procedures that have some risk.
Acts like an owner when they make decisions.
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
Develops trust and confidence from others.
Establishes relationships of trust, honesty, fairness, and integrity.
Fosters an environment built upon trust.
Accepts responsibility for mistakes.
Does what was promised.
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.
Is visible and approachable.
Open to the suggestions of others.
Actively seeks feedback from others.
Asks others for their ideas and opinions.
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
Is responsible for regulatory, strategic, operational and project risk management.
Establishes good controls over the process to better manage risks.
Integrates risk management processes, data, and analytics across the company.
Seeks to maintain the long-term viability of the Company through effective risk management.
Conducts internal audit of risk assessments.
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
Is aware of OSHA safety guidelines.
Points out behaviors in others that may be unsafe.
Ensures compliance with safety regulations.
Participates in safety training as applicable.
Commits adequate resources toward safety measures.
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
Able to work with individuals at all levels of the Company.
Attends to both the content and the context of what was being said.
Recognizes the contributions of others.
Values the opinions of others.
Understands the core issues of conversations.
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 employees to take training to increase their skill levels so that they can be more independent.
Allows the team to take responsibility for the project.
Allows the employees to have flexible work schedules.
Assigns important tasks to subordinates.
Assigns tasks that are within the skill levels of 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
Acts as an effective team player
Establishes good rapport with team members.
Works with other team members on the project.
Helps the team balance analysis with decisiveness in making decisions.
Effective team player
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.