Leadership - 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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Leadership	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Recognizes individual and team accomplishments and reward them appropriately.
Believes each employee has the potential to excel and expects them to pursue it.
Establishes methods and procedures for the department.
Influences the work of employees within the department.
Able to develop average employees into high performing employees.
The willingness to persevere despite uncertainty.
Encourages calculated risk-taking and treats mistakes as learning opportunities, not failures.
Effective in selecting and retaining high performing employees.
Uses storytelling to make complex ideas relatable and inspire action.
If [Participant Name] were to make improvements in Leadership, what are your suggestions for how he/she can improve this?
Establishing Focus/Direction	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Identifies which tasks or projects need immediate attention and which can be deferred.
Creates well articulated goals for the department.
Ensures the team stays on course and works effectively.
Builds schedules that reflect both urgency and long-term strategic goals.
Creates well articulated goals for the team to pursue.
Shows employees how their contributions make a meaningful impact.
If [Participant Name] were to make improvements in Establishing Focus/Direction, what are your suggestions for how he/she can improve this?
Persuasion and Influence	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Listens actively and adapts messaging to resonate with different viewpoints without diluting the core message.
Describes the issue in terms of the customer's experience to help create a mental image for employees to connect emotionally to issues facing customers.
Identifies decision-making inflection points and plans interventions that shape outcomes without forcing consensus.
Shares relevant personal experiences to illustrate effective approaches and guide decision-making.
Anticipates questions and provides well-reasoned, evidence-backed responses that reinforce the strength of their position.
Has excellent influencing/negotiating skills.
If [Participant Name] were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?
Safety	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Is aware of OSHA safety guidelines.
Committed to safety in the workplace.
Develops a culture of safety.
Performs work safely.
Seeks to reduce the likelihood of accidents.
Develops a strong safety culture.
If [Participant Name] were to make improvements in Safety, 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
Values the diverse perspectives and skills each team member brings to the table, recognizing that collaborative efforts often lead to more innovative and effective solutions.
Is a trustworthy and credible partner.
Works to create innovative ideas from the collaboration with others.
Clearly articulates the importance of collaboration in the department's values and vision.
Builds strong interpersonal relationships for more effective collaboration.
Strengthens relationships with suppliers to improve contract and price negotiation terms.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Partnering/Networking	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Manages effective partnerships between public, private, and non-profit sectors.
Reinforces the contacts with other organizations.
Strives to cultivate and sustain trustful and committed relationships with all partners.
Hosts industry events or meetups to bring partners and networks together.
Uses networks of personal contacts to gain introductions to others who may have valuable information.
Engages in continuous dialogue through regular meetings or virtual meetups.
If [Participant Name] were to make improvements in Partnering/Networking, what are your suggestions for how he/she can improve this?
Global Perspective	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Forms strong client relationships with international partners.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
Aligns personal vision with global strategies.
Demonstrates working knowledge of global transactions.
Understands and appreciates the perspectives offered by others with different cultural backgrounds.
Communicates effectively on a multi-lingual basis.
If [Participant Name] were to make improvements in Global Perspective, 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.