Partnering/Networking- 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 .

Partnering/Networking	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Creates opportunities and incentives for employees to learn and share knowledge with others.
Creates strategic partnerships when resources are limited.
Finds common ground with a wide range of stakeholders.
Seeks opportunities to meet with others.
Uses networks of personal contacts to gain introductions to others who may have valuable information.
If [Participant Name] were to make improvements in Partnering/Networking, what are your suggestions for how he/she can improve this?
Adaptability	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Embraces change and fosters an open-minded environment.
Is open to new ideas and innovations.
Is flexible when dealing with changes.
Easily accepts new responsibilities.
Adjusts priorities to the new Corporate mission.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?
Action	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Creates performance measures to ensure action by the department.
Gets the job done.
Completes tasks on time in spite of delays in the process.
Is not afraid to take corrective action when necessary.
Takes action in critical situations.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?
Continual Learning	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Sets relevant learning objectives and goals.
Participates in regular training offered.
Pursues professional development opportunities when they arise.
Seeks opportunities to grow in skills and knowledge.
Builds on their strengths while addressing their weaknesses.
If [Participant Name] were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?
Cultural Awareness	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Values the opinions of diverse groups and individual.
Understands how their own cultural background can impact the way they communicate and interact with others.
Understands how implicit biases can affect decisions, communication and productivity.
Is responsive to individuals from other cultures.
Views diversity as a strength, not as an issue.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?
Delegation	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Allows subordinates to use their own methods and procedures.
Defines goals and objectives for subordinates.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Sets clear and reasonable expectations for others and follows through on their progress.
Tells subordinates what to do, not how to do it.
If [Participant Name] were to make improvements in Delegation, what are your suggestions for how he/she can improve this?
Regulatory/Compliance	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Develops compliance reports to share with stakeholders.
Performs regulatory risk management to manage the risks of compliance (or non-compliance).
Identifies and assesses areas of regulatory or compliance risk.
Is professional and courteous in interactions with auditors and regulators.
Ensures the company meets legal requirements/standards regarding employees.
If [Participant Name] were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?
Empowering Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Gives employees input into the decision making process.
Encourages independent, original thinking and creative problem-solving.
Allows individuals to be responsible for their decisions.
Provides opportunities for employee development and growth.
Encourages employees to solve problems on their own.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?
Negotiation	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Stays calm and focuses on the core issues to be discussed.
Able to influence others to accept certain positions.
Demonstrates emotional stability to facilitate productive problem-solving and relationship building.
Ensures a thorough understanding of key issues and priorities.
Establishes a strong, cooperative atmosphere; defines expectations; and presents a well-structured agenda aligned with key priorities.
If [Participant Name] were to make improvements in Negotiation, 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.