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 .

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Objectives	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Consistently provides me with timely feedback for improving my performance.
Works toward achieving established goals and objectives.
Ability to establish realistic goals.
Establishes goals and objectives.
Assures [Company] principles are understood, employed & pursued.
Encourages me to take on greater responsibility.
Sets long-term and short-term goals.
Organizes and schedules events, activities, and resources.
Able to organize work.
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
Sets high personal standards of performance.
Acts as a resource without removing individual responsibility.
Works in a way that makes others want to work with her/him.
Is a person you can trust.
Holds herself / himself accountable to goals / objectives
Completes assigned work tasks.
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 positively impact team performance.
Able to work closely other team members who are considered to be difficult to work with.
Supports open communication between team members.
Expresses appreciation for the work of other team members.
Is committed to the success of the team.
Listens to other team members without interrupting them.
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
Identifies and understands competitors in the marketplace.
Identifies business strategies to strengthen competitive capabilities.
Inspires employees to adopt the strategic plan.
Identifies areas where return on investment can be improved.
Develops a corporate strategy to establish business operations in different locations.
Strategically positions resources to meet the needs of branch locations.
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
Conceives, implements and evaluates ideas.
Creates a lot of new ideas.
Is creative and inspirational.
Is creative.
Develops solutions to challenging problems.
Adds value to the department/organization.
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
Stays focused even when under pressure and stress.
Sets appropriate goals for employees.
Aligns the department's goals with the goals of the organization.
Makes sure that employees understand and identify with the team's mission.
Makes sure that employees understand how their work relates to organizational goals.
Maintains self-control when personally criticized.
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
Supports the Company's efforts to implement changes.
Supports new initiatives for organizational changes to improve effectiveness.
Inspires others to accept changes.
Is a leading force driving changes.
Develops plans for following through on the 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.