Excellence - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

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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Excellence	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Volunteers for challenging assignments that build new skills.
Engages with professional contacts to access specialized knowledge that enhances work quality.
Applies advanced knowledge and best practices to solve complex problems with accuracy and confidence.
Generates innovative ideas that transform and elevate existing approaches.
Improves analytical approaches to extract more meaningful and actionable insights.
Establishes ambitious performance goals that push beyond routine expectations and drive continuous improvement.
Envisions creative ideas to improve products and services.
Constantly seeks to improve job performance.
Learns and applies new analytical methods to deepen data interpretation.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?
Achievement	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Champions process improvements that enhance productivity, compliance, and overall success.
Completed training on the new equipment.
Leverages smart risk-taking to innovate and create competitive advantages.
Demonstrates a sense of urgency to quickly and accurately solve problems and issues.
Reduced department expenses by 25 percent.
Inspires others to work with a sense of urgency.
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?
Quality	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Resolves quality issues sooner rather than later.
Recognizes their role in promoting quality and safety in the workplace.
Invests time in reviewing and refining work, even when deadlines are tight, to uphold excellence.
Communicates quality standards clearly.
Establishes timeframes for achieving suitable quality levels.
Assists quality control inspectors.
If [Participant Name] were to make improvements in Quality, what are your suggestions for how he/she can improve this?
Feedback	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Promotes an atmosphere that champions continuous education and enhancement.
Assists employees in converting their feedback results into actionable items.
Is open to receiving insights from others about their strengths and areas needing development.
Guides employees through a structured process of reflection and action planning.
Implements best practices regarding feedback.
Engages in productive performance feedback conversations by focusing on their purpose: to support the employee's professional growth.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?
Leadership	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Sets a positive example.
Solicits performance feedback from others.
Motivates others to reach and exceed organizational goals and objectives.
Influences others
Provides accurate, timely, and (where appropriate) positive feedback.
Performs effectively, even under frustrating or challenging work conditions
If [Participant Name] were to make improvements in Leadership, what are your suggestions for how he/she can improve this?
Collaboration	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Ensures information flows freely across departments.
Recognizes and rewards the contributions of team members.
Seeks continuous improvement through the input from coworkers and staff.
Gains the cooperation of others to accomplish common goals and objectives.
Respects individual differences that contribute to solving problems.
Encourages team members to voice differing viewpoints and ensures those perspectives are heard and acknowledged.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Strategic Insight	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Understands how to strategically grow the business and increase customers.
Recognizes when strategic plans are no longer relevant due to environmental or organizational changes.
Demonstrates knowledge of organizational history, values, and long-term goals when making strategic recommendations.
Maintains knowledge of current trends in the industry.
Attends industry conferences to gain further insight into how other companies deal with similar issues.
Identifies potential problems before they become critical incidents.
If [Participant Name] were to make improvements in Strategic Insight, what are your suggestions for how he/she can improve this?

46. Strengths
    
    
    
47. Areas for Development
    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.