Initiative - 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 .

Initiative	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Takes the initiative to change the direction or course of events.
Takes action without being asked.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Goes above and beyond the stated goals.
If 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
Is pro-active in dealing with clients and addressing their needs.
Obtains feedback to ensure client needs are being met.
Ensures client commitments and requirements are met or exceeded
Satisfies client needs.
Looks for opportunities that have a positive impact on Clients.
If 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
Consistently models positive customer service attitudes.
Considers customers point of view when making decisions.
Ensures all customer commitments and requirements are met or exceeded.
Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
Does not hesitate to address customer concerns or complaints.
If 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
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?
Teamwork	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Works cooperatively with others to solve problems.
Comes across as a reliable, committed team member
Shares credit for accomplishments with team members
Communicates a clear message that teamwork and collaboration are expected.
Effective team player
If 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
Develops budgets and plans for various programs and initiatives.
Provides budgeting and accounting support to the Company.
Keeps excellent records for financial transparency.
Monitors spending.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
If were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?

30. Strengths
    
    
    
31. Areas for Development
    
    
    
32. Please give any final comments or suggestions for 's assessment.