Managing Performance - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are 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 this manager'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.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

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
Communicates the roles and responsibilities to the employee.
Implements remediation plans that include specific performance goals in areas most in need of improvement.
Places employees on probation if they fail to meet minimum performance standards.
Establishes measures of performance.
Continuously measures performance and provides feedback to employees regularly.
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
Uses a team and delegates tasks to specialists to help get more work done within the same amount of time.
Reacts promptly to inquiries from customers/clients.
Works quickly to keep on schedule.
Ensures timely completion of vital work.
Manages work time and family life to bring both into balance.
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
Consistently keeps commitments.
Delivers on promises made.
Is a person you can trust.
Is trustworthy; is someone I can trust.
Takes ownership, delivers on 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
Works to identify root causes of performance problems
Sets and clearly communicates expectations, performance goals, and measurements to others
Gives others development opportunities through project assignments and increased job responsibilities
Takes immediate action on poor performance
Provides ongoing feedback to co-workers on their development progress
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
Constructively receives criticism and suggestions from others.
...treats others with respect and dignity.
Works across boundaries within the organization.
Respects the opinions of other employees.
Able to see issues from others' perspectives.
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
Purchases equipment and software that will be needed in the future.
Determines the steps required for completion of a task.
Ensures everyone in the department is onboard with the current plan.
Ensures staff are held accountable for following the department plan.
Plans for how to allocate time to specific activities.
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.