Juggling Multiple Responsibilities - 360 Degree Feedback Survey Sample #1

Instructions:

The is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses, and will be not making any changes, click the Complete button.

Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Juggling Multiple Responsibilities	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Assesses current capabilities before committing to new requests from customers.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Can multi-task while performing all of their other responsibilities and activities.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
If were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?
Action	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Displays high energy and enthusiasm on consistent basis.
Works quickly when faced with difficult problems.
Does whatever it takes (within reason) to get the job done.
Drives and mobilizes others progress toward goals.
Is not afraid to take corrective action when necessary.
If were to make improvements in Action, what are your suggestions for how he/she can improve this?
Achievement	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Completes work to a high technical standard
Demonstrates a well-organized and timely approach to achieve desired results
Completes work to given time frame and to budget
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
If were to make improvements in Achievement, what are your suggestions for how he/she can improve this?
Excellence	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Produces high quality work.
Demonstrates the analytical skills to do their job.
Keeps themselves and others focused on constant improvement.
Can be counted on to add value wherever they are involved.
Demonstrates the functional or technical skills necessary to do their job.
If were to make improvements in Excellence, what are your suggestions for how he/she can improve this?
Decision Making	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Does not lose sight of the big picture when making decisions
Exercises good judgment by making sound and informed decisions.
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
Asks for additional information when making critical decisions.
Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
If were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?
Performance	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Works well in this position.
...Overall Performance
Shown significant improvement in job performance.
Able to organize work.
Listens and responds to issues and problems
If were to make improvements in Performance, what are your suggestions for how he/she can improve this?
Analytical	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Actively seeks constructive feedback from others.
Uses appropriate techniques to solve problems.
Can effectively interpret and analyze data.
Analyzes data and information from several sources and arrives at logical conclusions.
Asks the "right" questions to size up or evaluate situations.
If were to make improvements in Analytical, what are your suggestions for how he/she can improve this?
Regulatory/Compliance	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Addresses issues quickly before they develop into major problems.
Understands the applicable regulations and laws that impact our business.
Ensures regulations are followed as required.
Follows all safety regulations and procedures.
If were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?
Trustworthy	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Delivers on promises made.
Demonstrates congruence between statements and actions.
Is a person you can trust.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Consistently keeps commitments.
If were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?
Coaching	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Conducts regular performance appraisals and feedback.
Develops the skills and capabilities of others.
Addresses employee behavior problems effectively.
Helps employees to understand responsibilities, authority, and expectations.
If were to make improvements in Coaching, what are your suggestions for how he/she can improve this?
Entrepreneurship	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Finds unique ways to go around barriers to success.
Devotes a certain amount of time and effort to developing new business opportunities.
Excellent at managing relationships with stakeholders.
Encourages risk taking for developing potential business opportunities.
Encourages dynamic growth opportunities.
If were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?
Fiscal Management	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Develops budgets and plans for various programs and initiatives.
Monitors expenses and verifies the need for items purchased.
Provides budgeting and accounting support to the Company.
Keeps excellent records for financial transparency.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
If were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?

61. What are 's greatest strengths demonstrated this year?
    
    
    
62. What are 's areas for development?
    
    
    
63. Please give any final comments or suggestions for 's assessment.