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
Sets appropriate goals for employees.
Excellent at managing time.
Functions well under stress, deadlines, and/or significant workloads.
Helps guide employees with prioritizing tasks.
Stays focused even when under pressure and stress.
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
Effective in dealing with ambiguous and challenging situations.
Addresses organizational and departmental resistance to changes.
Supports new initiatives for organizational changes to improve effectiveness.
Assists others in understanding changes to the organization.
Works cooperatively with others to implement changes.
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
Keeps supervisor informed of recent events.
Defines roles, rights, and responsibilities of employees.
Holds team accountable to meeting goals.
Takes responsibility for results.
Creates a consistent process for prioritizing work.
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
Fosters a high standard of ethics and integrity.
Demonstrates honesty and truthfulness at all times.
Maintains strong relationships with others.
Follows tasks to completion.
Establishes relationships of trust, honesty, fairness, 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.
Shares past experiences with others as learning opportunities.
Is easy to approach with ideas and opinions.
Accepts the views of others.
Considers other's opinion and suggestions.
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
Develops policies to address risk situations in the workplace.
Gathers information regarding potential risks.
Perceives the risks of different work tasks and activities.
Attends risk management seminars and conferences.
Seeks to retain the best and brightest employees.
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 not afraid to question a potential safety issue observed in the workplace.
Supports our company's safety programs.
Commits adequate resources toward safety measures.
Ensures compliance with safety regulations.
Mitigates hazards and safety issues that arise.
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
Uses tact, compassion, and sensitivity in interactions with others.
Expresses appreciation of other's work.
Applies appropriate communication techniques to the situation.
Is a role model for others
Effectively manages conflicts by dealing with them directly and immediately
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 employees to have flexible work schedules.
Assigns tasks that are within the skill levels of employees.
Gives responsibility for making important decisions to employees.
Trusts employees to complete tasks assigned.
Demonstrates confidence in the abilities of 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
Encourages others to share ideas to develop team cohesion
Provides assistance and support to other team members when needed
Builds relationships across boundaries and with key stakeholders by developing informal and formal networks.
Is open to new ideas that may change own goals for benefit of the team
Encourages open communication
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.