Partnering/Networking- 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 .

Partnering/Networking	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Supports a partnering/networking culture.
Creates the conditions for partnerships to grow and develop.
Collaborates with others to accomplish goals and objectives.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Maintains infrastructure to support partnerships and networks.
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
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Is proactive and takes steps to prepare for changes in the workplace.
Develops insights and applies innovative solutions to projects and problems.
Recognizes and implements changes to enhance efficiency and effectiveness.
Adjusts priorities to changing business goals.
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
Is not afraid to take corrective action when necessary.
Works quickly when faced with difficult problems.
Displays high energy and enthusiasm on consistent basis.
Drives and mobilizes others progress toward goals.
Gets the job done.
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
Shares best practices with others and learns from others.
Builds on their strengths while addressing their weaknesses.
Sets relevant learning objectives and goals.
Improves on their skill sets.
Pursues self-improvement through continual learning.
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
Seeks out different viewpoints and benefits from different perspectives.
Recognizes and values individual and cultural differences.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Fosters a diverse workforce free from discrimination and harassment.
Encourages a work environment where individual differences are valued.
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
Sets clear and reasonable expectations for others and follows through on their progress.
Defines goals and objectives for subordinates.
Allows subordinates to use their own methods and procedures.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Clearly defines duties and tasks to be completed.
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
Understands the applicable regulations and laws that impact our business.
Offers training to employees to ensure they comply with regulations.
Interacts with auditors and regulators on a professional basis.
Implements regulatory changes in a timely manner.
Maintains compliance with federal, state, and local laws.
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
Encourages others to obtain necessary skills and training.
Allows individuals to be responsible for their decisions.
Set clear goals for assignments.
Gives employees the opportunity to make their own decisions at work.
Lets employees make their own decisions.
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
Able to say "no" when it is essential to maintaining quality and high standards.
Able to adapt to changing situations.
Able to influence others to accept certain positions.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Researches the needs of the other party to identify strengths and weaknesses of positions.
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.