Leadership - 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

Leadership	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Takes ownership and accountability for results
Able to influence others.
Gives direct, constructive, and actionable feedback.
Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
Effectively leads others.
If were to make improvements in Leadership, what are your suggestions for how he/she can improve this?
Management	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Makes you feel enthusiastic about your work
Takes responsibility for things that go wrong
Sets an example for others to follow
Is ready to offer help
Keep staff informed about what is happening in the company
If were to make improvements in Management, what are your suggestions for how he/she can improve this?
Action	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Does whatever it takes (within reason) to get the job done.
Drives and mobilizes others progress toward goals.
Effectively makes decisions
Works quickly when faced with difficult problems.
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?
Continual Learning	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Sets relevant learning objectives and goals.
Grasps new ideas, concepts, technical, or business knowledge.
Builds on their strengths while addressing their weaknesses.
Shares best practices with others and learns from others.
Pursues self-improvement through continual learning.
If were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?
Supervisory Skills	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Encourages employees to achieve their full potential.
Promotes teamwork and cooperation within the department.
Appropriately recognizes and rewards employees.
Resolves personnel problems quickly and effectively.
Maintains good working relationships with employees.
If were to make improvements in Supervisory Skills, what are your suggestions for how he/she can improve this?
Administrative Skill	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Enthusiastic about taking on challenging projects.
Strong organizational skills to keep the workspace and department in order
Takes responsibility for decisions.
High attention to detail.
Implements and uses performance measures.
If were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?
Juggling Multiple Responsibilities	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Bounces back from daily crisis, disappointments and frustrations.
Can multi-task while performing all of their other responsibilities and activities.
If were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?
Trustworthy	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Takes ownership, delivers on commitments
Delivers on promises made.
Builds and maintains the trust of others.
Demonstrates congruence between statements and actions.
Is trustworthy; is someone I can trust.
If were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?
Empowering Others	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Sets clear goals for others to accomplish.
Distributes the workload to subordinates.
Encourages others to obtain necessary skills and training.
Encourages employees to solve problems on their own.
Allows individuals to be responsible for their decisions.
If were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?
Teamwork	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Is open to new ideas that may change own goals for benefit of the team
Demonstrates compassion and respect for others through actions; is concerned about their work and non-work issues
Coaches team members to work toward a common goal.
Actively and openly participates in group meetings.
Fosters respect and understanding among team members
If were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?
Entrepreneurship	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Has a strategic awareness on how to promote the organization.
Finds unique ways to go around barriers to success.
Encourages dynamic growth opportunities.
Excellent at managing relationships with stakeholders.
Encourages risk taking for developing potential business opportunities.
If were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?

56. What are 's greatest strengths demonstrated this year?
    
    
    
57. What are 's areas for development?
    
    
    
58. Please give any final comments or suggestions for 's assessment.