Management - 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 .

Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Delegate tasks effectively
Sets an example for others to follow
Takes responsibility for things that go wrong
Makes you feel enthusiastic about your work
Keep staff informed about what is happening in the company
If [Participant Name] were to make improvements in Management, what are your suggestions for how he/she can improve this?
Time Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Addresses the most pressing needs at the beginning of the shift.
Focuses on tasks that have high priority.
Allows for time buffers between tasks so that the schedule does not become delayed due to unforeseen circumstances.
Completes tasks ahead of schedule.
Avoids spending time on non-work related activities.
If [Participant Name] were to make improvements in Time Management, what are your suggestions for how he/she can improve this?
Regulatory/Compliance	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Identifies and assesses areas of regulatory or compliance risk.
Responds accurately and completely to questions from regulators.
Develops a confidential reporting system to enable employees to anonymously report safety violations.
Develops compliance reports in accordance with federal and industry regulations.
Complies with regulatory requirements for the state.
If [Participant Name] were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?
Coaching	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Helps employees to understand responsibilities, authority, and expectations.
Addresses employee behavior problems effectively.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Meets regularly with employees to coach them on areas that will enhance their performance
Develops the skills and capabilities of others.
If [Participant Name] were to make improvements in Coaching, what are your suggestions for how he/she can improve this?
Strategic Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Ensures that the department's goals are strategically aligned with the company's goals.
Able to decline a poor strategy by proposing alternate strategies.
Understands how to grow the business and increase customers.
Identifies areas where return on investment can be improved.
Successfully implements a strategic plan.
If [Participant Name] were to make improvements in Strategic Focus, what are your suggestions for how he/she can improve this?
Fiscal Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Monitors expenses and verifies the need for items purchased.
Develops budgets and plans for various programs and initiatives.
Develops of the department's annual budget.
Monitors spending.
If [Participant Name] were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?
Global Perspective	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Works well with others from different cultural backgrounds.
Exemplifies the skills of a global worker.
Analyzes global issues/problems that are having a large impact on the Company.
Understands and appreciates the perspectives offered by others with different cultural backgrounds.
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
If [Participant Name] were to make improvements in Global Perspective, 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.