Integrity - 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 5 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Integrity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Fosters a high standard of ethics and integrity.
Demonstrates sincerity in actions with others.
Does what was promised.
Protects the integrity and confidentiality of information
Accepts responsibility for mistakes.
If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?
Creativity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Conceives, implements and evaluates ideas.
Creates a lot of new ideas.
Adds value to the department/organization.
Is creative and inspirational.
Develops solutions to challenging problems.
If [Participant Name] were to make improvements in Creativity, what are your suggestions for how he/she can improve this?
Passion To Learn	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Inspires others to learn new things.
Takes initiative for own learning and development.
Stays up-to-date on emerging technologies.
Embraces new technology and procedures.
Will participate in training classes even if offered outside of normal working hours.
If [Participant Name] were to make improvements in Passion To Learn, what are your suggestions for how he/she can improve this?
Client Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Takes the initiative in solving difficult client issues.
Fosters an environment that supports strong client focus.
Identifies the most pressing needs of each client.
Ensures clients are comfortable with the services provided.
Consistently meets client's needs.
If [Participant Name] were to make improvements in Client Focus, what are your suggestions for how he/she can improve this?
Recognition	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Offers recognition in a timely manner.
Recognizes the abilities and skills of self and others
Compliments other people when they do good work
Finds opportunities to recognize others.
Is sincerely interested in the suggestions of co-workers
If [Participant Name] were to make improvements in Recognition, what are your suggestions for how he/she can improve this?
Strategic Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Able to decline a poor strategy by proposing alternate strategies.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Communicates goals and objectives to employees.
If [Participant Name] were to make improvements in Strategic Focus, what are your suggestions for how he/she can improve this?
Strategic Insight	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Analyzes unique issues or problems impacting the Company.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Maintains knowledge of current trends in the industry.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Communicates vision for the department and company.
If [Participant Name] were to make improvements in Strategic Insight, what are your suggestions for how he/she can improve this?

36. Strengths
    
    
    
37. Areas for Development
    
    
    
38. Please give any final comments or suggestions for [Participant Name Here]'s assessment.