Excellence - 360 Degree Feedback Survey Sample #1

Instructions:

The is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses, and will be not making any changes, click the Complete button.

Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Excellence	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Demonstrates the analytical skills to do their job.
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
Keeps themselves and others focused on constant improvement.
Produces high quality work.
If were to make improvements in Excellence, what are your suggestions for how he/she can improve this?
Action	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Makes effective decisions, even when under pressure.
Drives and mobilizes others progress toward goals.
Gets the job done.
Effectively makes decisions
Is not afraid to take corrective action when necessary.
If were to make improvements in Action, what are your suggestions for how he/she can improve this?
Punctuality	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Avoids making personal phone calls during working hours.
Maintains an efficient schedule of activities.
Invoices clients on a timely basis.
Responds to requests for information in a timely manner.
Starts meetings on time.
If were to make improvements in Punctuality, what are your suggestions for how he/she can improve this?
Initiative	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Goes above and beyond the stated goals.
Seeks and utilizes opportunities for continuous learning and self-development.
Prepares for unexpected contingencies.
Immediately works to complete goals well before their deadline.
Takes action without being asked.
If were to make improvements in Initiative, what are your suggestions for how he/she can improve this?
Achievement	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Systematically works to improve the organization
Set high standards in their performance
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Follows-up and takes action when goals are not met to ensure better results in the future.
Demonstrates a well-organized and timely approach to achieve desired results
If were to make improvements in Achievement, what are your suggestions for how he/she can improve this?
Managing Risk	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Works within constraints of the organization.
Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
Effectively responds to critical situations to reduce potential for losses.
Knows how to obtain desired results with minimal losses.
Recognizes that small changes may snowball into major events.
If were to make improvements in Managing Risk, what are your suggestions for how he/she can improve this?
Customer Focus	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Considers customers point of view when making decisions.
Develops strong customer relationships.
Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
Maintains positive customer relationships.
Ensures all customer commitments and requirements are met or exceeded.
If were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?
Co-worker Development	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
If were to make improvements in Co-worker Development, what are your suggestions for how he/she can improve this?
Negotiation	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Influences others through rational argument and persuasion.
Is able to decline bad ideas to avoid making poor decisions.
Able to say "no" when it is essential to maintaining quality and high standards.
If were to make improvements in Negotiation, what are your suggestions for how he/she can improve this?
Organizational Fluency	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Adept at navigating within the culture of the department.
Understands the current organizational culture.
Effective in communicating with others within the organization.
Anticipates problems that may affect the department.
Able to explain departmental policies and procedures to others.
If were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?

50. What are 's greatest strengths demonstrated this year?
    
    
    
51. What are 's areas for development?
    
    
    
52. Please give any final comments or suggestions for 's assessment.