Initiative - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are 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 this manager'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.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

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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Initiative	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is proactive when preparing for potential problems or critical events.
Quickly comes to the aid of those who may need help.
Takes the initiative to complete tasks ahead of schedule.
Anticipates what needs to be done and makes necessary preparations.
Takes action to implement new changes in the policies and procedures.
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
Actively listens to concerns from clients.
Is committed to the client's success.
Identifies the core needs of the client.
Uses feedback from clients to help improve services.
Identifies opportunities that will enhance the client's experience.
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
Uses customer feedback to help improve products and services.
Creates documents that meet the customer's specifications.
Responsive to customer needs.
Adapts to changes proposed by the customer.
Is consistent in services provided to customers.
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
Takes immediate action on poor performance
Gives others development opportunities through project assignments and increased job responsibilities
Adapts coaching and mentoring approach to meet the style or needs of individuals
Provides ongoing feedback to co-workers on their development progress
Works to identify root causes of performance problems
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
Makes decisions that positively impact team performance.
Works cooperatively with others to solve problems.
Creates a culture that fosters and values collaboration.
Shares pertinent information with all members of the team.
Encourages dialog between 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
Monitors spending.
Keeps excellent records for financial transparency.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Ensures others follow the correct rules and regulations on fiscal matters.
Effective in using Company's resources.
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.