Goals - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Self-Assessment Form 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. All Leadership Team Members will be participating at this time.

In this regard, you need to complete a self-assessment questionnaire form (below).
Your responses will be combined with the responses from your peers and direct reports. 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 .

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Goals	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
I create goals are aligned with the broader vision and mission of the organization.
I create situational and task-specific that help goals to provide clear direction and purpose.
I refine and further define goals as additional information and details become available.
I provide feedback to employees letting them know of their status in the completion of their goals.
I allocate time and resources for when each task should be started and finished.
If you were to make improvements in Goals, what are your suggestions for how you can improve this?
Creativity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
You explore new concepts and channel them into creative solutions.
You participate in industry networks to stay attuned to emerging ideas.
I push beyond familiar territory to explore new creative directions.
You scan the external environment for creative practices and emerging trends.
You creatively solves difficult problems.
If you were to make improvements in Creativity, what are your suggestions for how you can improve this?
Punctuality	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
You conduct appointments at scheduled start time.
You start the workday when scheduled.
You maintain an efficient schedule of activities.
You arrive to meetings on time.
You invoice clients on a timely basis.
If you were to make improvements in Punctuality, what are your suggestions for how you can improve this?
Company	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
I ensure safety and security on the various campuses.
I ensure that hiring is strategic and effective.
You help employee satisfaction by reminding employees how their work contributes to the shared goals and long-term success of the company.
You actively promote organizational priorities in team meetings and plan sessions.
I reinforce the idea that the best days for our company are yet to come.
If you were to make improvements in Company, what are your suggestions for how you can improve this?
Global Perspective	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
You apply knowledge of overseas markets.
You communicate effectively on a multi-lingual basis.
You cooperate with others on a global scale.
You are aware of the culture, behaviors, identities and beliefs of others.
You exemplify the skills of a global worker.
If you were to make improvements in Global Perspective, what are your suggestions for how you can improve this?

26. Strengths
    
    
    
27. Areas for Development
    
    
    
28. Please give any final comments or suggestions for [Participant Name Here]'s assessment.