Initiative - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

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 .

Edit this Survey

Would you like to edit this survey? Click here to begin.

Initiative	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Acts quickly when a small problem arises to keep it from becoming a major issue.
Anticipates problems and initiates plans to address them.
Takes the initiative to solve pressing issues.
Looks for opportunities to move projects forward.
Independently seeks out new learning opportunities to improve their skills.
Engages with new customers immediately.
Takes corrective action to rectify issues.
Seeks and utilizes opportunities for continuous learning and self-development.
Initiates actions that impact the department/company.
If [Participant Name] were to make improvements in Initiative, what are your suggestions for how he/she can improve this?
Action	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Completes tasks on time in spite of delays in the process.
Is proactive in addressing the needs of the department.
Stays committed to goals even when progress is slow.
Motivates & supports others to gain skills
Displays high energy and enthusiasm on consistent basis.
Assigns tasks to team members based on their strengths.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?
Planning	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Anticipates the impacts of strategic plans.
Prioritizes plans based on a cost/benefit analysis.
Understands what materials will be required to successfully implement the plan.
Sets up and monitors timeframes and plans
Is good at planning for the "unexpected".
Determines the appropriate actions needed to achieve goals.
If [Participant Name] were to make improvements in Planning, what are your suggestions for how he/she can improve this?
Integrity	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Fosters an environment built upon trust.
Demonstrates honesty and truthfulness at all times.
Does what was promised.
Develops trust and confidence from others.
Demonstrates sincerity in actions with others.
Fosters a high standard of ethics and integrity.
If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?
Professional Development	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Quickly acquire and apply new knowledge and skills when needed
Allows employees to fully participate in employee training and professional development.
Keep themselves up-to-date of technical/professional issues
Seeks opportunities for continuous learning.
Seeks opportunities for professional development.
Encourages employees to take courses relevant to their job.
If [Participant Name] were to make improvements in Professional Development, what are your suggestions for how he/she can improve this?
Cultural Awareness	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Is aware of the similarities and differences among and between cultural groups.
Is curious and willing to ask questions about the cultural differences in the workplace.
Understands how their own cultural background can impact the way they communicate and interact with others.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
May advocate for others with different cultural backgrounds.
Hires individuals with different cultural backgrounds for the department.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?
Collaboration	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Contributes expertise, insights, and resources to accelerate solutions to problems.
Includes all stakeholders in the decision making process.
Creates an environment where others feel comfortable sharing knowledge and information.
Models collaborative behavior through leading by example.
Works with others to pool knowledge, ideas and resources to provide deeper insights into difficult issues.
Works with others to resolve issues facing the company.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?

46. Strengths
    
    
    
47. Areas for Development
    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.