Excellence - 360 Degree Feedback Survey Sample #2

Instructions

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 and the goals they were asked to achieve. 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 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.

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

Excellence	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Is planful and organized.
Produces high quality work.
Takes a lot of pride in their work.
Keeps themselves and others focused on constant improvement.
Demonstrates the analytical skills to do their job.
What are your suggestions for how can make improvements in Excellence?
Bias for Action	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Motivates others to achieve or exceed goals
Completes a large volume of work.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Identifies ways to simplify work processes and reduce cycle times
Conveys a sense of urgency about addressing problems and opportunities
What are your suggestions for how can make improvements in Bias for Action?
Leadership	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Effectively leads others.
Acts decisively in implementing decisions.
Highly effective supervisor.
Gives direct, constructive, and actionable feedback.
Takes ownership and accountability for results
What are your suggestions for how can make improvements in Leadership?
Supervisory Skills	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Delegates effectively.
Resolves personnel problems quickly and effectively.
Is aware of the unique strengths of each employee.
Provides constructive, ongoing feedback.
Maintains good working relationships with employees.
What are your suggestions for how can make improvements in Supervisory Skills?
Persuasion and Influence	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Communicates effectively with others.
Develops a good rapport with others.
Ensures stakeholders are involved in the decision making process.
Able to express own goals and needs.
Persuades others to consider alternative points of view.
What are your suggestions for how can make improvements in Persuasion and Influence?
Decision Making	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Exercises good judgment by making sound and informed decisions.
Seeks input from key people who should be involved in, or will be affected by, decisions
Is able to make decisions quickly.
Asks for additional information when making critical decisions.
Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
What are your suggestions for how can make improvements in Decision Making?
Innovation	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Implements best practices within the department.
Challenges current procedures to develop other alternatives.
Builds upon the ideas and solutions of others.
Suggests new ideas at meetings.
Offers constructive improvements to existing systems.
What are your suggestions for how can make improvements in Innovation?
Adaptability	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Develops insights and applies innovative solutions to projects and problems.
Is flexible and open minded in dealing with others.
Learns from personal experiences and/or mistakes.
Works effectively in dynamic and changing work environments.
Flexible and open to new ideas and encourages others to value change.
What are your suggestions for how can make improvements in Adaptability?
Juggling Multiple Responsibilities	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Can multi-task while performing all of their other responsibilities and activities.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Assesses current capabilities before committing to new requests from customers.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
What are your suggestions for how can make improvements in Juggling Multiple Responsibilities?
Technology Use/Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Adopts the implementation of new technology into the workplace.
Maximizes the use of new technology to deliver products and services.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Understands and is committed to implementing new technologies.
Proficient in the use of technical systems and processes.
What are your suggestions for how can make improvements in Technology Use/Management?
Regulatory/Compliance	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Ensures regulations are followed as required.
Explains regulations and procedures to others as required.
Keeps informed of various regulations and procedures.
Addresses issues quickly before they develop into major problems.
What are your suggestions for how can make improvements in Regulatory/Compliance?
Client Focus	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Is pro-active in dealing with clients and addressing their needs.
Obtains feedback to ensure client needs are being met.
Looks for opportunities that have a positive impact on Clients.
Maintains strong relationships with clients.
Forms strong client relationships
What are your suggestions for how can make improvements in Client Focus?
Teamwork	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Provides assistance and support to other team members when needed
Creates a climate that encourages team participation.
Demonstrates compassion and respect for others through actions; is concerned about their work and non-work issues
Act as an effective team player
Identifies and resolves conflicts within the team to increase team effectiveness
What are your suggestions for how can make improvements in Teamwork?
Strategic Focus	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Able to decline a poor strategy by proposing alternate strategies.
Communicates goals and objectives to employees.
Looks for opportunities to enhance contributions to the bottom line.
What are your suggestions for how can make improvements in Strategic Focus?

71. Strengths
    
    
    
72. Areas for Development
    
    
    
73. Please give any final comments or suggestions for 's assessment.