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 easy to approach with ideas and opinions.
Asks others for their ideas and opinions.
Seeks feedback to enhance performance.
Accepts the views of others.
Shares past experiences with others as learning opportunities.
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
Gives clear and convincing presentations.
Able to demonstrate persuasiveness in pursuit of objectives.
Able to deliver presentations.
Conveys ideas confidently and succinctly.
Listens to others' points of view with an open mind
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
Always starts work on time.
Can be counted on to do what they say they are going to do.
Aware of the consequences for failure to complete the project.
Accepts accountability for their work.
Ensures that employees are compensated fairly and in accordance with established policies.
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
Follows tasks to completion.
Maintains strong relationships with others.
Does what was promised.
Establishes relationships of trust, honesty, fairness, and integrity.
Fosters a high standard of ethics and integrity.
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
Sets an example for others to follow
Keep staff informed about what is happening in the company
Delegate tasks effectively
Makes you feel enthusiastic about your work
Takes responsibility for things that go wrong
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
Is firm in their decision and not easily influenced by the whims of others.
Seeks input from key people who should be involved in, or will be affected by, decisions
Willing to consider information from other sources.
Remains focused on the immediate goal when making decisions.
Is open to listening to others who may have different ideas.
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
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Willingly shares his/her technical expertise; sought out as resource by others
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.
Knows how to produce high quality products/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
Creates a risk management strategy for the organization.
Has the knowledge and skills to accurately identify risks in the workplace.
Committed to implementing rules and procedures to minimize risk.
Recognizes that small changes may snowball into major events.
Aware of appropriate actions to minimize risks.
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
Adapts coaching and mentoring approach to meet the style or needs of individuals
Sets and clearly communicates expectations, performance goals, and measurements to others
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
Determines the best approach to achieving desired goals.
Ensures adherence to the strategy to sustain achievement of targeted levels of organizational performance.
Identifies and understands competitors in the marketplace.
Develops an organizational strategy for each functional area within the mission statement.
Strategically focuses efforts to improve operational efficiencies.
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
Understands the current organizational culture.
Adept at navigating within the culture of the department.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Anticipates problems that may affect the department.
Able to deal with sensitive issues with tact and professionalism.
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.