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 .

Leadership	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Motivates and challenges employees to attain a shared vision.
Holds others accountable for their actions.
Highly effective supervisor.
Gives inspiring presentations or discussions.
Acts decisively in implementing decisions.
Recognizes individual and team accomplishments and reward them appropriately.
Sets a high level of performance expectations and challenges others to do the same.
Provides resources to enable individuals to develop professionally.
Able to align manpower, design work, an allocate tasks to achieve goals.
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
Aligns the department's goals with the goals of the organization.
Functions well under stress, deadlines, and/or significant workloads.
Excellent at managing time.
Maintains self-control when personally criticized.
Makes sure that employees understand how their work relates to organizational goals.
Sets appropriate goals for employees.
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
Understanding what others need.
Seeks to obtain consensus or compromise.
Has excellent influencing/negotiating skills.
Ensures stakeholders are involved in the decision making process.
Develops a good rapport with others.
Communicates effectively with others.
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 not afraid to question a potential safety issue observed in the workplace.
Encourages others to attend safety training.
Participates in safety training as applicable.
Creates accurate and effective measures of safety.
Ensures compliance with safety regulations.
Ensures that all supervisors are aware of regulatory and compliance measures.
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
Creates a culture that encourages understanding and valuing diverse perspectives to effectively resolve conflicts.
Create an environment where collaboration and teamwork is encouraged.
Ensures relevant data is available to all committee members.
Builds consensus among team members.
Respectful of others in group discussions.
Listens to the ideas and suggestions from others.
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
Engages in partnerships that produce significant results.
Uses networks of personal contacts to gain introductions to others who may have valuable information.
Hosts forums, colloquiums, and seminars to share information and ideas.
Engages with partners that offer complementary services and competencies.
Networks with other professionals in the industry to understand best practices.
Shares and develops cutting-edge ideas with a network of colleagues, fostering a culture of innovation and continuous improvement.
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
Communicates effectively on a multi-lingual basis.
Understands global systems such as the global economy.
Works well with others from different cultural backgrounds.
Understands how cultures differ and how these differences impact work behavior.
Considers customers point of view when making decisions.
Understands and appreciates the perspectives offered by others with different cultural backgrounds.
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.