Objectives - 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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Objectives	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Encourages me to take on greater responsibility.
Effectively organizes resources and plans
Consistently provides me with timely feedback for improving my performance.
Assures [Company] principles are understood, employed & pursued.
Works toward achieving established goals and objectives.
If [Participant Name] were to make improvements in Objectives, what are your suggestions for how he/she can improve this?
Professional Development	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Encourages employees to take courses relevant to their job.
Contributing fully to the extent of their skills
Quickly acquire and apply new knowledge and skills when needed
Seeks opportunities for professional development.
Keep themselves up-to-date of technical/professional issues
If [Participant Name] were to make improvements in Professional Development, what are your suggestions for how he/she can improve this?
Managing Performance	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Increases responsibilities for high performing individuals.
Assigns responsibility for meeting specific objectives.
Uses pre-established key benchmarks to measure performance.
Encourages employees to take additional training in areas where they had low performance scores.
Ensures the eligibility of the proposed award recipient.
If [Participant Name] were to make improvements in Managing Performance, what are your suggestions for how he/she can improve this?
Initiative	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Immediately informs the HR Department of any personnel complaints or issues.
Takes the initiative to solve pressing issues.
Seeks and utilizes opportunities for continuous learning and self-development.
Acts quickly when a small problem arises to keep it from becoming a major issue.
Takes action without being asked.
If [Participant Name] were to make improvements in Initiative, what are your suggestions for how he/she can improve this?
Technical	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Demonstrates mastery of the technical competencies required in his/her work.
Willingly shares his/her technical expertise; sought out as resource by others
Knows how to produce high quality products/work.
Seeks information from others as needed.
If [Participant Name] were to make improvements in Technical, what are your suggestions for how he/she can improve this?
Recognition	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Recognizes team members who offer a significant contribution to a project.
Readily shares credit and gives others opportunity for visibility.
Is sincerely interested in the suggestions of co-workers
Recognizes the abilities and skills of self and others
Makes people around them feel appreciated and valued.
If [Participant Name] were to make improvements in Recognition, 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.