Juggling Responsibilities - 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 .

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Juggling Multiple Responsibilities	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Switches attention to more urgent tasks when necessary.
Can multitask while performing all of their other responsibilities and activities.
Spends the most time and effort on critical tasks first.
Plans and organizes continuously while performing all other responsibilities and activities.
Prioritizes tasks for efficiency.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Coordinates the work of a team by assigning tasks to other team members.
Completes multiple tasks simultaneously.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, 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
Works with other experts to solve problems.
Fosters a collaborative work environment where mutual inspiration leads to innovative problem-solving.
Seeks continuous improvement through the input from coworkers and staff.
Builds strong interpersonal relationships for more effective collaboration.
Respects and utilizes diverse perspectives in addressing challenges.
Displays a high degree of trust and credibility.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Client Focus	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Maintains strong relationships with clients.
Provides a high level of service to clients.
Promptly responds to clients.
Acts with integrity in all client interactions.
Is committed to the success of the client.
Forms strong client relationships
If [Participant Name] were to make improvements in Client Focus, what are your suggestions for how he/she can improve this?
Teamwork	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Listens to the opinions of other team members.
Actively and openly participates in team meetings.
Helps the team bounce back from obstacles to progress.
Expresses appreciation for the work of other team members.
Is committed to the success of the team.
Takes the time to listen to the team's ideas.
If [Participant Name] were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?
Vision	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Fosters a leadership vision that promotes innovation and growth.
Cultivates an environment that embodies the department's vision.
Designs and implements a forward-looking vision for the company.
Creates a clear and inspiring vision statement that outlines the desired future for the company.
Behaves in a way that is consistent with business values & code of conduct
Able to formulate and implement a vision for the future of the department.
If [Participant Name] were to make improvements in Vision, what are your suggestions for how he/she can improve this?
Continual Learning	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Shares best practices with others and learns from others.
Improves on their skill sets.
Sets relevant learning objectives and goals.
Pursues professional development opportunities when they arise.
Is open to new ideas and concepts.
Pursues self-improvement through continual learning.
If [Participant Name] were to make improvements in Continual Learning, 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
Communicates with others without the influence of racism.
Respects others regardless of age, race, gender, nationality, or disability.
Seeks to reduce obstacles in communication that might arise from cultural differences.
Is aware of the similarities and differences among and between cultural groups.
Values the diverse perspectives from others.
Acknowledges their own biases in cultural interactions.
If [Participant Name] were to make improvements in Cultural Awareness, 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.