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
Creates solutions to problems as soon as an incident occurs.
Seizes upon chances to improve the department's prospects.
Initiates actions that impact the department/company.
Acts on own initiative to improve the department outcomes.
Updates the documentation as soon as the situation changes.
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 client's needs a top priority.
Maintains up-to-date information regarding client products.
Their activities reflect a strong focus on the client relationship.
Prioritizes client issues to tackle the most pressing needs first.
Adapts to changing client needs.
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
Responds to the needs of the customer.
Focuses on providing excellent customer service.
Ensures customers are comfortable with the services provided.
Provides training to others on how to improve customer service.
Tailors innovative products for each 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
Adapts coaching and mentoring approach to meet the style or needs of individuals
Works to identify root causes of performance problems
Gives others development opportunities through project assignments and increased job responsibilities
Takes immediate action on poor performance
Sets and clearly communicates expectations, performance goals, and measurements to others
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
Communicates well with team members.
Makes sure each team member participates in the task.
Helps the team bounce back from obstacles to progress.
Shares resources and information with the team.
Shows respect for other team members.
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
Develops budgets and plans for various programs and initiatives.
Provides budgeting and accounting support to the Company.
Monitors spending.
Ensures others follow the correct rules and regulations on fiscal matters.
Develops of the department's annual budget.
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.