Feedback - 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 .

Feedback	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is visible and approachable.
Looks to others for input.
Is easy to approach with ideas and opinions.
Actively seeks feedback from 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?
Communication Skills	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Listens attentively and responds thoughtfully, showing they value the conversation.
Marks their status as "available" to signal they are open for communication.
Writes complete and developmentally-oriented performance appraisals with clear goals, using SMART criteria
Is willing to give feedback to others even if that feedback is critical of their approach.
Delivers information in a clear, concise, and logical manner.
If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?
Accountability	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is someone you can trust.
Demonstrates a commitment to taking responsibility for actions.
Accepts personal responsibility for not meeting expectations.
Consistently strives to meet high standards of excellence.
Lets supervisor know of any setbacks to the progress on achieving goals.
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
Fosters an environment built upon trust.
Maintains strong relationships with others.
Demonstrates honesty and truthfulness at all times.
Follows tasks to completion.
Protects the integrity and confidentiality of information
If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?
Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Takes responsibility for things that go wrong
Makes you feel enthusiastic about your work
Delegate tasks effectively
Sets an example for others to follow
Keep staff informed about what is happening in the company
If [Participant Name] were to make improvements in Management, what are your suggestions for how he/she can improve this?
Decision Making	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Defines what constraints must be met for the decision making process.
Outlines the parameters influencing the decision making process.
Weighs the pros and cons of decisions.
Receptive to new ideas from others when making decisions.
Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
If [Participant Name] were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?
Technical	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Seeks information from others as needed.
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Is knowledgeable of procedures or systems necessary for the job.
Demonstrates mastery of the technical competencies required in his/her work.
If [Participant Name] were to make improvements in Technical, what are your suggestions for how he/she can improve this?
Managing Risk	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Determines the impact of specific risks on reputation.
Seeks to add value to the company by embracing risk.
Uses risk data to generate insights and drive strategic decisions.
Effectively responds to critical situations to reduce potential for losses.
Presents regular/monthly reports to the audit committee.
If [Participant Name] were to make improvements in Managing Risk, what are your suggestions for how he/she can improve this?
Co-worker Development	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Provides ongoing feedback to co-workers on their development progress
Adapts coaching and mentoring approach to meet the style or needs of individuals
Works to identify root causes of performance problems
Takes immediate action on poor performance
Gives others development opportunities through project assignments and increased job responsibilities
If [Participant Name] were to make improvements in Co-worker Development, what are your suggestions for how he/she can improve this?
Strategic Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Focuses efforts on specific marketing strategies.
Detects changes in the environment and updates the strategic plan to address new opportunities or threats.
Understands & contributes to development of strategic goals.
Develops a strategic plan for adapting the organization to better respond to external changes in the marketplace.
Gives adequate consideration to the time and resources available.
If [Participant Name] were to make improvements in Strategic Focus, what are your suggestions for how he/she can improve this?
Organizational Fluency	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Able to explain departmental policies and procedures to others.
Understands departmental policies and procedures.
Effective in communicating with others within the organization.
Able to use corporate politics to advance department objectives.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
If [Participant Name] were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?

56. Strengths
    
    
    
57. Areas for Development
    
    
    
58. Please give any final comments or suggestions for [Participant Name Here]'s assessment.