Leadership - 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 .

Leadership	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Able to organize the work of others.
Sets specific, measurable, and challenging goals.
Demonstrates leadership and courage in critical situations.
Is a highly effective supervisor.
Effectively leads others.
If [Participant Name] were to make improvements in Leadership, what are your suggestions for how he/she can improve this?
Clarity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Uses appropriate grammar and tense in communications.
Seeks to reduce ambiguity in messaging and documents.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Communicates ideas and facts clearly and effectively in writing.
Makes sure employees understand why they were given certain assignments.
If [Participant Name] were to make improvements in Clarity, what are your suggestions for how he/she can improve this?
Trustworthy	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Takes ownership, delivers on commitments
Consistently keeps commitments.
Communicates an understanding of the other person's interests, needs and concerns.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Is a person you can trust.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?
Conflict Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Deals effectively with employee grievances.
Clearly expresses expectations to others.
Tries to understand others' point of view before making judgments
Assists team members by helping them see the other point of view.
Identifies and takes steps to prevent potential confrontations.
If [Participant Name] were to make improvements in Conflict Management, what are your suggestions for how he/she can improve this?
Business Acumen	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Has a good understanding of liabilities and assets.
Asks the 'right' questions to size up or evaluate situations.
Periodically assesses the current market environment.
Describes and summarizes data.
If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?
Company	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Follows existing procedures and processes.
Understands the "basics" as to how [Company] functions/operates.
Attends [Company] gatherings and social events.
Understands how decisions impact other business units beyond their immediate department of work group.
Understands the use of [Company] products and services.
If [Participant Name] were to make improvements in Company, what are your suggestions for how he/she can improve this?
Fiscal Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Monitors expenses and verifies the need for items purchased.
Provides budgeting and accounting support to the Company.
Keeps excellent records for financial transparency.
Develops budgets and plans for various programs and initiatives.
Develops of the department's annual budget.
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.