Feedback - 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

Feedback	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Shares past experiences with others as learning opportunities.
Is easy to approach with ideas and opinions.
Actively seeks feedback from others.
Accepts the views of others.
Looks to others for input.
If were to make improvements in Feedback, what are your suggestions for how he/she can improve this?
Adaptability	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Recognizes and implements changes to enhance efficiency and effectiveness.
Works effectively in dynamic and changing work environments.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
If were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?
Action	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Works quickly when faced with difficult problems.
Makes effective decisions, even when under pressure.
Drives and mobilizes others progress toward goals.
Gets the job done.
Does whatever it takes (within reason) to get the job done.
If were to make improvements in Action, what are your suggestions for how he/she can improve this?
Leadership	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Effectively leads others.
Highly effective supervisor.
Demonstrates leadership and courage in critical situations.
Able to influence others.
Acts decisively in implementing decisions.
If were to make improvements in Leadership, what are your suggestions for how he/she can improve this?
Continual Improvement	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Looks for ways to expand current job responsibilities.
Promotes training and development opportunities to enhance job performance.
Open to the suggestions from others.
Looks for ways to expand and learn new job skills.
Looks for ways to improve work processes and procedures.
If were to make improvements in Continual Improvement, what are your suggestions for how he/she can improve this?
Managing Performance	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Provides employees with necessary resources to accomplish their goals.
Recognizes and values good performance.
Obtains commitment from employees regarding completion of tasks.
Makes sure commitments are understood and met.
Uses timely and appropriate corrective/disciplinary actions.
If were to make improvements in Managing Performance, what are your suggestions for how he/she can improve this?
Administrative Skill	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Able to develop, justify and present a budget.
Takes responsibility for decisions.
Strong organizational skills to keep the workspace and department in order
Completes reports on-time.
Enthusiastic about taking on challenging projects.
If were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?
Juggling Multiple Responsibilities	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Assesses current capabilities before committing to new requests from customers.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Plans and organizes continuously while performing all 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.
Bounces back from daily crisis, disappointments and frustrations.
If were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?
Technology Use/Management	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Applies complex rules and regulations to maintain optimal system performance.
Proficient in the use of technical systems and processes.
Understands and is committed to implementing new technologies.
Supports technical training and development of employees.
Supports employee training and development initiatives regarding implementation of technology.
If were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?
Interpersonal Skills	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Comes across as credible, knowledgeable and sincere
Effectively manages conflicts by dealing with them directly and immediately
Strives for win/win solutions
Successfully resolves conflicts and grievances to a win-win solution.
Is open and approachable
If were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?
Developing Others	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Provides constructive feedback to others.
Recognizes and celebrates accomplishments of others.
Assesses employees' developmental needs.
Creates opportunities for professional development.
Encourages employees through recognition of positive changes in behavior.
If were to make improvements in Developing Others, what are your suggestions for how he/she can improve this?
Business Acumen	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Asks the 'right' questions to size up or evaluate situations.
Able to align resources to meet the business needs of the company.
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Applies the knowledge of work processes to influence the achievement of business goals
Understands complex issues and problems.
If were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?

61. What are 's greatest strengths demonstrated this year?
    
    
    
62. What are 's areas for development?
    
    
    
63. Please give any final comments or suggestions for 's assessment.