Self-Management - 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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Passion To Learn	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Creates an environment that supports personal development and exploration.
Will participate in training classes even if offered outside of normal working hours.
Takes advantage of training opportunities when they arise.
Enhances value to the company through additional training and development.
Stays up-to-date on emerging technologies.
Holds self and associates accountable for goal achievement.
Exhibits willingness to upgrade skills through additional training and education.
Is committed to enhancing their own knowledge and skills.
Demonstrates through personal behavior the commitment to high standards of performance.
If [Participant Name] were to make improvements in Passion To Learn, what are your suggestions for how he/she can improve this?
Accountability	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Willing to answer for their own actions and performance.
Accepts personal responsibility for producing high quality and timely work.
Exhibits good governance in their role as an executive.
Takes full responsibility for lack of results achieved.
Is someone you can trust.
Recognizes when a mistake is made and works to correct the issue.
If [Participant Name] were to make improvements in Accountability, what are your suggestions for how he/she can improve this?
Time Management	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Does not procrastinate.
Leverages calendars to help keep better track of events.
Ensures timely completion of critical assignments.
Combines tasks to save time.
Is prompt and diligent in their work.
Delegates tasks to free up time to focus on more important issues.
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	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Applies complex rules and regulations to maintain optimal system performance.
Supports employee training and development initiatives regarding implementation of technology.
Proficient in the use of technical systems and processes.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Understands and is committed to implementing new technologies.
Adopts the implementation of new technology into the workplace.
If [Participant Name] were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?
Collaboration	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Involves others in reaching a consensus during group activities.
Works with others to develop strategies to identify needs and priorities.
Understands that collaboration often leads to more innovative and effective solutions.
Avoids promoting a hyper competitive culture in favor of a more collaborative one.
Is tactful, compassionate and sensitive to the needs of others.
Uses effective strategies to re-engage team members and secure their commitment to the business's common good.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Others	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Is able to see issues from others' perspectives.
Respects the opinions of other employees.
Forms working relationships with employees from other departments.
Works across boundaries within the organization.
Constructively receives criticism and suggestions from others.
Helpful
If [Participant Name] were to make improvements in Others, what are your suggestions for how he/she can improve this?

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