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.
Stays focused even when under pressure and stress.
Aligns the department's goals with the goals of the organization.
Makes sure that employees understand and identify with the team's mission.
Helps guide employees with prioritizing 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
Supports new initiatives for organizational changes to improve effectiveness.
Supports the Company's efforts to implement changes.
Facilitates change with minimal resistance.
Develops a strategy for implementing changes.
Inspires others to want to 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
Aware of the consequences for failure to complete the project.
Holds self and others accountable for meeting the deadline.
Fully embraces the responsibilities that contribute to our departmental success.
Acts like an owner when they make decisions.
Takes responsibility for the direction of the team.
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
Establishes relationships of trust, honesty, fairness, and integrity.
Protects the integrity and confidentiality of information
Fosters a high standard of ethics and integrity.
Follows tasks to completion.
Develops trust and confidence from others.
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
Actively seeks feedback from others.
Is easy to approach with ideas and opinions.
Seeks feedback to enhance performance.
Accepts the views of others.
Open to the suggestions of others.
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
Bases decisions on patterns found in fluid/changing information.
Tracks risks in a project.
Responds appropriately to unexplained or unanticipated events.
Gathers information regarding potential risks.
Maintains open communication with other departments.
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
Mitigates hazards and safety issues that arise.
Develops a sustainable safety culture.
Ensures compliance with safety regulations.
Participates in safety training when offered.
Keeps accurate safety records.
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
Honesty and integrity are core tenets of interpersonal relationships.
Creates diverse teams of individuals with different backgrounds, skills, and abilities.
Addresses critical customer issues in a timely manner.
Considers the other individual's point of view.
Creates an atmosphere that supports the open expression of ideas
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.
Allows the team to take responsibility for the project.
Gives employees the opportunity to make their own decisions at work.
Ensures employees understand what is being assigned to them.
Is confident in the abilities of employees assigned important tasks.
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
Promotes open communication on the team.
Helps the team to bounce back from obstacles.
Is able to accurately paraphrase and summarize what other team members have said.
Listens and is attentive to other team members.
Fosters an environment that promotes active listening on the team.
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.