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

Please ensure that your submission is made between .

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Integrity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Protects the integrity and confidentiality of information
Maintains strong relationships with others.
Follows tasks to completion.
Accepts responsibility for mistakes.
Fosters an environment built upon trust.
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.
Inspires creativity in their team.
Develops solutions to challenging problems.
Is creative.
Is creative and inspirational.
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
Is open minded and curious about learning new skills.
Holds self and associates accountable for goal achievement.
Enjoys learning new skills and techniques.
Exhibits willingness to upgrade skills through additional training and education.
Creates an environment that supports personal development and exploration.
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
Creates customized solutions for the client.
Is consistent in services provided to clients.
Focuses on the unique needs of each client.
Has excellent communication with clients.
Creates innovative solutions for the clients.
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
Compliments other people when they do good work
Lets employees know when they have done well
Says "thank you" to show appreciation for work of others.
Recognizes individuals for a specific outstanding achievement.
Readily shares credit and gives others opportunity for visibility.
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
Maintains strategic focus by regularly reviewing the strategic plan and taking corrective actions as needed to stay on track.
Develops strategies to effectively use company resources and exploit potential opportunities.
Scans the environment for opportunities to exploit.
Exhibits a strategic orientation to identify and capitalize on opportunities to advance the organization.
Strategically positions resources to meet the needs of field based 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
Maintains knowledge of current trends in the industry.
Observes employees at work to get better insight into the issues they are dealing with.
Analyzes unique issues or problems impacting the Company.
Creates a mission statement describing the purpose for the organization.
Identifies potential problems before they become critical incidents.
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.