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 .

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Managing Performance	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Gives additional responsibilities to individuals who exceed standards.
Initiates probationary actions for employees with sub-par performance.
Reviews monthly or weekly reports of quantitative metrics (sales/production) to measure performance level.
Records production quotas on a daily basis.
Provides employees with necessary resources to accomplish their goals.
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
Focuses on tasks that have high priority.
Delivers results on-time.
Regularly delivers results on-time.
Leaves time in the schedule for unplanned contingencies.
Allocates full attention to completing critical tasks.
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 care to maintain confidential information.
Is a person you can trust.
Takes ownership, delivers on commitments
Delivers on promises made.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
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
Sets and clearly communicates expectations, performance goals, and measurements to others
Adapts coaching and mentoring approach to meet the style or needs of individuals
Takes immediate action on poor performance
Gives others development opportunities through project assignments and increased job responsibilities
Works to identify root causes of performance problems
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
Includes others in the decision making processes.
...treats others with respect and dignity.
Consistently demonstrates ability and willingness to trust others.
Works effectively with people from other departments.
Constructively receives criticism and suggestions from others.
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
Creates to-do lists to make sure nothing is missed.
Develops plans to help manage expectations and project demands.
Plans for future staffing needs.
Assigns the right tasks to the right people and holds them accountable.
Initiates the planning process by defining the scope of the project.
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.