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
Open to the suggestions of others.
Is easy to approach with ideas and opinions.
Accepts the views of others.
Asks others for their ideas and opinions.
Considers other's opinion and suggestions.
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
Is an effective communicator
An effective listener who is responsive to information needs.
Communications with department leadership
Delivers well-prepared, informed, poised and succinct presentations.
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
Keeps their word and does what they say they will do.
Can be counted on to do what they say they are going to do.
Holds team accountable to meeting goals.
Tackles issues head on and finds solutions.
Develops goals and establishes objective measures of success.
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
Develops trust and confidence from others.
Does what was promised.
Follows tasks to completion.
Accepts responsibility for mistakes.
Maintains strong relationships with others.
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
Is ready to offer help
Sets an example for others to follow
Delegate tasks effectively
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
Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
Asks for additional information when making critical decisions.
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
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
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
Knows how to produce high quality products/work.
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.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Seeks information from others as needed.
Willingly shares his/her technical expertise; sought out as resource by others
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
Develops policies for risk management.
Seeks to increase safety in the workplace.
Performs a risk analysis as needed.
Effectively responds to critical situations to reduce potential for losses.
Evaluates risks against acceptable risk levels.
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
Gives others development opportunities through project assignments and increased job responsibilities
Adapts coaching and mentoring approach to meet the style or needs of individuals
Sets and clearly communicates expectations, performance goals, and measurements to others
Provides ongoing feedback to co-workers on their development progress
Works to identify root causes of performance problems
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
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Looks for opportunities to enhance contributions to the bottom line.
Communicates goals and objectives to employees.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Able to decline a poor strategy by proposing alternate strategies.
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 use corporate politics to advance department objectives.
Able to deal with sensitive issues with tact and professionalism.
Able to explain departmental policies and procedures to others.
Effective in communicating with others within the organization.
Anticipates problems that may affect the department.
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.