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 .

Feedback	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Open to the suggestions of others.
Looks to others for input.
Shares past experiences with others as learning opportunities.
Accepts the views of others.
Considers other's opinion and suggestions.
Is visible and approachable.
Seeks feedback to enhance performance.
Is easy to approach with ideas and opinions.
Actively seeks feedback from 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
Implements best practice methods within the Company.
Challenges existing work processes/products to enhance value.
Improves and makes systems more efficient.
Promotes disruptive innovation empowering managers to challenge the status quo and push the boundaries of what's possible.
Facilitates acceptance of new ideas.
Analyzes the competitive environment to determine where innovation would have the greatest impact.
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
Develops plans for following through on the changes.
Able to get department employees to accept new changes.
Able to get team members to change their attitudes.
Works cooperatively with others to implement changes.
Effective in implementing new organizational vision and values.
Assists others in understanding changes to the organization.
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
Is flexible and open minded in dealing with others.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Works effectively with various personalities of team members.
Able to adjust to changing environments.
Can take on new assignments.
Adjusts tactics and strategies.
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
Contributes resources and knowledge to help the team achieve its goals.
Creates an environment of open and transparent communication.
Readily shares information with other group members.
Works cooperatively with others to solve problems.
Participates in collaborative/team decision-making.
Displays a high degree of trust and credibility.
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
Is open to feedback from others.
Demonstrates a willingness to participate in continuing education courses.
Constantly enhances product knowledge through experimentation and play.
Exhibits willingness to upgrade skills through additional training and education.
Stays up-to-date on emerging technologies.
Demonstrates through personal behavior the commitment to high standards of performance.
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
Conducts regular performance appraisals and feedback.
Develops the skills and capabilities of others.
Provides clear, motivating, and constructive feedback.
Helps employees to understand responsibilities, authority, and expectations.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Addresses employee behavior problems effectively.
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.