Managing Performance - 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 .

Managing Performance	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Aligns individual and team goals with the organization's goals and objectives.
Measures performance of goals and objectives.
Recognizes and values good performance.
Makes sure commitments are understood and met.
Ensures that team goals are met 85 percent of the time.
If [Participant Name] were to make improvements in Managing Performance, what are your suggestions for how he/she can improve this?
Time Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Completes high-priority work within required timelines.
Uses agendas when chairing or facilitating meetings.
Focuses on tasks that have high priority.
Deals effectively with interruptions.
Sets clearly defined goals.
If [Participant Name] were to make improvements in Time Management, 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
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Takes care to maintain confidential information.
Builds and maintains the trust of others.
Consistently keeps commitments.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?
Co-worker Development	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Takes immediate action on poor performance
Works to identify root causes of performance problems
Provides ongoing feedback to co-workers on their development progress
Adapts coaching and mentoring approach to meet the style or needs of individuals
Sets and clearly communicates expectations, performance goals, and measurements to others
If [Participant Name] were to make improvements in Co-worker Development, what are your suggestions for how he/she can improve this?
Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Forms working relationships with employees from other departments.
Respects the opinions of other employees.
Treats others with respect and dignity.
Consistently demonstrates ability and willingness to trust others.
Works effectively with people from other departments.
If [Participant Name] were to make improvements in Others, what are your suggestions for how he/she can improve this?
Planning	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Anticipates obstacles and ways to overcome them.
Able to identify the needs of the department before a major change.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Works in an organized manner
If [Participant Name] were to make improvements in Planning, what are your suggestions for how he/she can improve this?

31. Strengths
    
    
    
32. Areas for Development
    
    
    
33. Please give any final comments or suggestions for [Participant Name Here]'s assessment.