Initiative - 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 .

Initiative	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Initiates draft documents for the director.
Is proactive and gets things done.
Volunteers time and effort toward the completion of important goals.
Updates the documentation as soon as the situation changes.
Guides strategic initiatives to advance the department/organization.
If [Participant Name] were to make improvements in Initiative, what are your suggestions for how he/she can improve this?
Client Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Makes sure their interests are aligned with the client's interests.
Creates innovative solutions for the clients.
Fosters an environment that supports strong client focus.
Consistently exceeds client expectations.
Provides a high level of service to clients.
If [Participant Name] were to make improvements in Client Focus, what are your suggestions for how he/she can improve this?
Customer Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Does not hesitate to address customer concerns or complaints.
Sets an example for excellent customer relations.
Builds trust with the customer.
Exceeds expectations of the customers.
Responds to the needs of the customer.
If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?
Co-worker Development	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Gives others development opportunities through project assignments and increased job responsibilities
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
Provides ongoing feedback to co-workers on their development progress
If [Participant Name] were to make improvements in Co-worker Development, what are your suggestions for how he/she can improve this?
Teamwork	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Works cooperatively with others to solve problems.
Actively and openly participates in group meetings.
Encourages others to share ideas to develop team cohesion
Relates to all kinds of people tactfully
Effective team player
If [Participant Name] were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?
Fiscal Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Effective in using Company's resources.
Monitors spending.
Keeps excellent records for financial transparency.
Ensures others follow the correct rules and regulations on fiscal matters.
Develops budgets and plans for various programs and initiatives.
If [Participant Name] were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?

31. Strengths
    
    
    
32. Areas for Development
    
    
    
33. Please give any final comments or suggestions for [Participant Name Here]'s assessment.