Managing Performance - 360 Degree Feedback Survey Sample #7

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 and .

Managing Performance	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Sets specific and measurable goals for others and follows through to completion.
Uses timely and appropriate corrective/disciplinary actions.
Examines the most effective ways for accomplishing goals.
Prioritizes the work of others.
Obtains commitment from employees regarding completion of tasks.
If 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
Deals effectively with interruptions.
Prioritizes new tasks according to their relative importance.
Does not become flustered by deadlines and timelines.
Avoids distractions in the workplace.
Sets a good balance between work and family life.
If 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
Demonstrates congruence between statements and actions.
Consistently keeps commitments.
Takes ownership, delivers on commitments
Demonstrates a sense of responsibility and commitment to public trust.
Is trustworthy; is someone I can trust.
If 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
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
If 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
Works effectively with people from other departments.
Treats others with respect and dignity.
Forms working relationships with employees from other departments.
Helpful
Able to see issues from others' perspectives.
If 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
Delegates role to team members to accomplish goals.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Anticipates obstacles and ways to overcome them.
Works in an organized manner
Makes plans and follows through.
If were to make improvements in Planning, what are your suggestions for how he/she can improve this?

30. Strengths
    
    
    
31. Areas for Development
    
    
    
32. Please give any final comments or suggestions for 's assessment.