Mediation - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

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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Mediation	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Assesses readiness and willingness of parties to engage in mediation before proceeding.
Explores underlying interests and motivations through thoughtful, open-ended questioning.
Stays focused on the meeting and does not get distracted by side issues.
Guides parties through impasse by reframing issues and exploring alternative solutions.
Distinguishes between surface-level positions and deeper interests or values.
Identifies the relevant interests of each party.
Listens carefully to all parties.
Identifies gaps in understanding and seeks additional input to complete the picture.
Structures the negotiation process to promote clarity, fairness, and progress toward resolution.
If [Participant Name] were to make improvements in Mediation, what are your suggestions for how he/she can improve this?
Flexibility	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Implements changes as a result of having listened to employees
Balances multiple perspectives to find common ground and innovative solutions.
Agile and versatile when dealing with issues.
Continuously learning and adapting new techniques to address evolving challenges.
Responds effectively to changes in the market conditions.
Adapts easily to incorporate various perspectives.
If [Participant Name] were to make improvements in Flexibility, what are your suggestions for how he/she can improve this?
Administrative Skill	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Attention to detail.
Uses logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Maintains an orientation toward helping others.
Opens, sorts, and distributes incoming correspondence, including faxes and email.
Plans travel arrangements.
Actively seeks to assist others in need.
If [Participant Name] were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?
Goals	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Stays on task and steers clear of distractions to reach objectives.
Effectively manages the pursuit of multiple goals at the same time by skillfully balancing priorities, resources, and time.
Establishes and documents goals and objectives.
Demonstrates a track record of successfully accomplishing a wide range of goals, spanning various areas and disciplines.
Ensures goals have relevance to a specific scenario.
Tracks quarterly and annual performance figures by comparing them to the previous year.
If [Participant Name] were to make improvements in Goals, what are your suggestions for how he/she can improve this?
Excellence	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Takes a lot of pride in their work.
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
Keeps themselves and others focused on constant improvement.
Is planful and organized.
Produces high quality work.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?
Company	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Leads efforts to ensure offerings are not only competitive but also meaningful and differentiated.
Maintains the high ethical standards of the company.
Is excited about where the company is headed.
Aligns departmental strategies with the company's long-term vision and objectives.
Creates a work environment that employees appreciate and are able to be productive.
Develops and organizes effective workplace policies.
If [Participant Name] were to make improvements in Company, what are your suggestions for how he/she can improve this?

40. Strengths
    
    
    
41. Areas for Development
    
    
    
42. Please give any final comments or suggestions for [Participant Name Here]'s assessment.