Others- 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 .

Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Constructively receives criticism and suggestions from others.
Consistently demonstrates ability and willingness to trust others.
Able to see issues from others' perspectives.
Helpful
Works across boundaries within the organization.
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
Recognizes and values individual and cultural differences.
Understands how implicit biases can affect decisions, communication and productivity.
May advocate for others with different cultural backgrounds.
Communicates with others without the influence of racism.
Respects others regardless of age, race, gender, nationality, or disability.
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
Attempts to persuade others rather than simply control them.
Persuades others to consider alternative points of view.
Communicates effectively with others.
Develops a good rapport with others.
Understanding what others need.
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
Will stop what they are doing to help colleagues in need.
Able to adapt to changes in technology and processes.
Develops insights and applies innovative solutions to projects and problems.
Embraces change and fosters an open-minded environment.
Able to adjust to changes as needed.
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
Recognizes when a mistake is made and works to correct the issue.
Accepts personal responsibility for not meeting expectations.
Holds employees accountable for their participation in solving department problems and issues.
Willingly accepts the obligation to complete the task.
Sets clear performance measures.
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
Focuses time on the tasks that yield the highest value.
Gets more accomplished than others in the same amount of time.
Consistently meets production deadlines.
Stays on track by effectively using the project schedule.
Often works through lunches instead of going out for lunches.
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
Supports employee training and development initiatives regarding implementation of technology.
Adopts the implementation of new technology into the workplace.
Supports technical training and development of employees.
Uses technology in decision making and problem solving.
Maximizes the use of new technology to deliver products and services.
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
A proficient conflict resolver who effectively navigates workplace disputes to maintain a harmonious and productive environment.
Tailors approaches to more effectively address current demands.
Able to manage and resolve conflicts constructively.
Stays composed and counters aggressive negotiation tactics by reframing unreasonable proposals or actions.
Knows where to stand firm and where to compromise.
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.