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 .

Integrity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Fosters an environment built upon trust.
Demonstrates honesty and truthfulness at all times.
Demonstrates sincerity in actions with others.
Fosters a high standard of ethics and integrity.
Develops trust and confidence from others.
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
Adds value to the department/organization.
Creates a lot of new ideas.
Conceives, implements and evaluates ideas.
Inspires creativity in their team.
Is creative.
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
Exhibits willingness to upgrade skills through additional training and education.
Constantly enhances product knowledge through experimentation and play.
Enjoys learning new skills and techniques.
Stays up-to-date on emerging technologies.
Is open minded and curious about learning new skills.
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
Helps others in responding to client needs.
Responsive to client needs.
Is above average in addressing the needs of the clients.
Anticipates client needs.
Makes sure client needs are understood by the team members.
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
Finds opportunities to recognize others.
Recognizes team members who offer a significant contribution to a project.
Readily shares credit and gives others opportunity for visibility.
Offers recognition in a timely manner.
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
Recognizes the need for strategically developing unique capabilities.
Makes sure that all departments/teams are contributing toward the success of the strategy.
Creates a mission statement describing the purpose for the organization.
Makes strategic changes to stay ahead of changes in the business environment.
Develops strategies that are practical and can be feasibly implemented within a reasonable period of time.
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
Understands how to strategically grow the business and increase customers.
Develops a plan and strategy for each functional area within the mission statement.
Ensures that the department's goals are strategically aligned with the company's goals.
Analyzes records and reports to obtain insight into potential issues and trends.
Attends industry conferences to gain further insight into how other companies deal with similar issues.
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.