Excellence - 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 .

Objectives	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Organizes and schedules events, activities, and resources.
Establishes goals and objectives.
Able to organize work.
Assures [Company] principles are understood, employed & pursued.
Encourages me to take on greater responsibility.
Effectively organizes resources and plans
Sets long-term and short-term goals.
Communicates goals and objectives to employees.
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?
Responsible	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Is a person you can trust.
Behavior is ethical and honest.
Works in a way that makes others want to work with her/him.
Acts as a resource without removing individual responsibility.
Completes assigned work tasks.
Responsible for setting the vision of the department.
If [Participant Name] were to make improvements in Responsible, what are your suggestions for how he/she can improve this?
Teamwork	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Makes decisions that support the team's goals and objectives.
Facilitates effective teamwork during periods of change.
Demonstrates a willingness to work with the team.
Actively participates in the work of teams; seeks and listens to others' contributions
Establishes good rapport with team members.
Fosters respect and understanding among team members
If [Participant Name] were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?
Strategic Focus	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Creates a vision for the organization based on how the organization should appear in the future.
Able to decline a poor strategy by proposing alternate strategies.
Communicates the company's strategic goals and decisions to teams and departments.
Recognizes the need for strategically developing unique capabilities.
Makes decisions that yield more competitive advantages.
Detects changes in the environment and updates the strategic plan to address new opportunities or threats.
If [Participant Name] were to make improvements in Strategic Focus, what are your suggestions for how he/she can improve this?
Creativity	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Adds value to the department/organization.
Is creative.
Develops solutions to challenging problems.
Is creative and inspirational.
Conceives, implements and evaluates ideas.
Creates a lot of new ideas.
If [Participant Name] were to make improvements in Creativity, what are your suggestions for how he/she can improve this?
Establishing Focus/Direction	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Makes sure that employees understand how their work relates to organizational goals.
Functions well under stress, deadlines, and/or significant workloads.
Excellent at managing time.
Maintains self-control when personally criticized.
Stays focused even when under pressure and stress.
Makes sure that employees understand and identify with the team's mission.
If [Participant Name] were to make improvements in Establishing Focus/Direction, what are your suggestions for how he/she can improve this?
Change Management	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Is an inspiration for others to accept the recent changes.
Effective in dealing with ambiguous and challenging situations.
Develops a strategy for implementing changes.
Supports new initiatives for organizational changes to improve effectiveness.
Works cooperatively with others to implement changes.
Effective in implementing new organizational vision and values.
If [Participant Name] were to make improvements in Change Management, what are your suggestions for how he/she can improve this?

46. Strengths
    
    
    
47. Areas for Development
    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.