Feedback - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

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 .

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Feedback	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Asks others for their ideas and opinions.
Considers other's opinion and suggestions.
Actively seeks feedback from others.
Accepts the views of others.
Seeks feedback to enhance performance.
Is easy to approach with ideas and opinions.
Looks to others for input.
Shares past experiences with others as learning opportunities.
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?
Innovation	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Creates improved methods or solutions for meeting goals and objectives.
Is open to innovative ideas.
Champion disruptive innovations to open new market opportunities and redefine industry standards.
Creates innovative products or services.
Looks beyond company for new ideas and innovative approaches.
Identifies the opportunities created by innovations.
If [Participant Name] were to make improvements in Innovation, what are your suggestions for how he/she can improve this?
Change Management	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Inspires others to want to change.
Facilitates change with minimal resistance.
Adopts changes to set and example for others to follow.
Supports new initiatives for organizational changes to improve effectiveness.
Effective in dealing with ambiguous and challenging situations.
Addresses organizational and departmental resistance to changes.
If [Participant Name] were to make improvements in Change Management, what are your suggestions for how he/she can improve this?
Adaptability	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Effective in working with different personnel of the team.
Able to adjust to changing environments.
Can take on new assignments.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Is open to change and adjusts plans when needed.
Accommodates changes as needed.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?
Collaboration	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Respects other committee members.
Views others as valued partners.
Integrates technology to boost collaborative work on process and policy documentation.
Considers the views of other colleagues and associates.
Contributes resources and knowledge to help the team achieve its goals.
Create an environment where collaboration and teamwork is encouraged.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Passion To Learn	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Enjoys learning new skills and techniques.
Inspires others to learn new things.
Is committed to enhancing their own knowledge and skills.
Demonstrates a willingness to participate in continuing education courses.
Takes advantage of training opportunities when they arise.
Will participate in training classes even if offered outside of normal working hours.
If [Participant Name] were to make improvements in Passion To Learn, what are your suggestions for how he/she can improve this?
Coaching	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Addresses employee behavior problems effectively.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Meets regularly with employees to coach them on areas that will enhance their performance
Helps employees to maintain high personal standards.
Develops the skills and capabilities of others.
Provides clear, motivating, and constructive feedback.
If [Participant Name] were to make improvements in Coaching, what are your suggestions for how he/she can improve this?

46. Strengths
    
    
    
47. Areas for Development
    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.