Juggling Multiple Responsibilities - 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 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Juggling Multiple Responsibilities	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is aware of the deadlines for specific tasks/assignments.
Uses a scheduler/planner to keep tasks organized and on time.
Builds in extra time in the schedule for unplanned events/occurrences.
Ranks the importance of tasks to make sure critical tasks are completed first.
Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?
Technical	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Knows how to produce high quality products/work.
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Demonstrates mastery of the technical competencies required in his/her work.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
If [Participant Name] were to make improvements in Technical, what are your suggestions for how he/she can improve this?
Objectives	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Works toward achieving established goals and objectives.
Effectively organizes resources and plans
Organizes and schedules events, activities, and resources.
Encourages me to take on greater responsibility.
Communicates goals and objectives to employees.
If [Participant Name] were to make improvements in Objectives, what are your suggestions for how he/she can improve this?
Empowering Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Set clear goals for assignments.
Allows for flexibility in the working hours.
Views others in the department as valued assets to be trained and employed.
Lets employees make their own decisions.
Allows employees to take ownership of their work.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?
Strategic Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Identifies strengths that competitors would have trouble imitating.
Is effective in using strategic tools such as value chain analysis, business environment analysis, and competitor analysis.
Develops a strategic plan for adapting the organization to better respond to external changes in the marketplace.
Identifies ways in which the company is better able to meet the customers' needs than rivals.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
If [Participant Name] were to make improvements in Strategic Focus, what are your suggestions for how he/she can improve this?
Entrepreneurship	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Takes the initiative to complete tasks.
Can work effectively in an environment of uncertainty.
Finds unique ways to go around barriers to success.
Understands the processes and various stages of business development.
Seeks and utilizes mentors to help guide professional development.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?
Fiscal Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Develops of the department's annual budget.
Keeps excellent records for financial transparency.
Effective in using Company's resources.
Develops budgets and plans for various programs and initiatives.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
If [Participant Name] were to make improvements in Fiscal Management, 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.