Others- 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

is 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 '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.

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 .

Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
...treats others with respect and dignity.
Treats others with respect and dignity.
Constructively receives criticism and suggestions from others.
Includes others in the decision making processes.
Is able to see issues from others' perspectives.
If [Participant Name] were to make improvements in Others, what are your suggestions for how he/she can improve this?
Cultural Awareness	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Seeks opportunities to learn about the other cultural backgrounds of colleagues.
Willing to work with employees who have different cultural backgrounds.
Is aware of cultural differences in business etiquette.
Communicates with others without the influence of racism.
Participates in cultural training sessions/classes.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?
Persuasion and Influence	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Seeks to obtain consensus or compromise.
Develops a good rapport with others.
Has excellent influencing/negotiating skills.
Attempts to persuade others rather than simply control them.
Able to express own goals and needs.
If [Participant Name] were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?
Adaptability	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Accommodates changes as needed.
Able to adjust to changing environments.
Responds quickly to new information.
Learns from personal experiences and/or mistakes.
Works effectively in dynamic and changing work environments.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?
Accountability	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Expects employees to accept the consequences of their actions.
Understands the importance of holding employees accountable for their work.
Accepts accountability for their work.
Accepts personal responsibility for their actions.
Honors the commitments and promises made to customers/clients.
If [Participant Name] were to make improvements in Accountability, what are your suggestions for how he/she can improve this?
Time Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Responds immediately to requests rather than waiting to respond.
Usually works at a fast pace to get more done.
Starts projects without delay.
Works on critical tasks as quickly as possible.
Integrates automation into the process whenever feasible.
If [Participant Name] were to make improvements in Time Management, what are your suggestions for how he/she can improve this?
Technology Use/Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Understands and is committed to implementing new technologies.
Proficient in the use of technical systems and processes.
Applies complex rules and regulations to maintain optimal system performance.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Supports employee training and development initiatives regarding implementation of technology.
If [Participant Name] were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?
Negotiation	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Makes initial offers based on high aspirations conveying a robust BATNA (Best Alternative to a Negotiated Settlement).
Able to say "no" when it is essential to maintaining quality and high standards.
Maintains good interpersonal relationships with representatives from the other party.
Keeps the negotiations constructive and focused on problem-solving rather than conflict.
Creates a constructive atmosphere, building a positive relationship for cooperative negotiations.
If [Participant Name] were to make improvements in Negotiation, what are your suggestions for how he/she can improve this?

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