Feedback - 360 Degree Feedback Survey Sample #7

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 and .

Feedback	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is easy to approach with ideas and opinions.
Looks to others for input.
Seeks feedback to enhance performance.
Asks others for their ideas and opinions.
Open to the suggestions of others.
If 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 to others' points of view with an open mind
Coaches others and provides feedback on the use of different oral communication styles for different audiences
Deals with difficult situations calmly and confidently.
Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
Is an effective communicator
If 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
Defines roles, rights, and responsibilities of employees.
Is aware of problems or issues that may affect the organization.
Implements and facilitates controls and processes that maintain the integrity of the organization.
Defines roles, rights, and responsibilities of the team.
Can be counted on to do what they say they are going to do.
If 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
Demonstrates sincerity in actions with others.
Does what was promised.
Demonstrates honesty and truthfulness at all times.
Develops trust and confidence from others.
Fosters a high standard of ethics and integrity.
If 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
Makes you feel enthusiastic about your work
Sets an example for others to follow
Takes responsibility for things that go wrong
Keep staff informed about what is happening in the company
Is ready to offer help
If 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
Does not lose sight of the big picture when making decisions
Asks for additional information when making critical decisions.
Is able to make decisions quickly.
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 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 knowledgeable of procedures or systems necessary for the job.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Demonstrates mastery of the technical competencies required in his/her work.
Willingly shares his/her technical expertise; sought out as resource by others
If 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
Bases decisions on patterns found in fluid/changing information.
Recognizes that small changes may snowball into major events.
Seeks to maintain the long-term viability of the Company.
Responds appropriately to unexplained or unanticipated events.
Maintains open communication with other departments.
If 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
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
If 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
Looks for opportunities to enhance contributions to the bottom line.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Able to decline a poor strategy by proposing alternate strategies.
If 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
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Anticipates problems that may affect the department.
Able to use corporate politics to advance department objectives.
Able to explain departmental policies and procedures to others.
Understands the current organizational culture.
If were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?

55. Strengths
    
    
    
56. Areas for Development
    
    
    
57. Please give any final comments or suggestions for 's assessment.