Performance - 360 Degree Feedback Survey Sample #1

Instructions:

The is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses, and will be not making any changes, click the Complete button.

Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Performance	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Effectively organizes resources and plans
Works well in this position.
Has great overall performance
Sets a high standard for job performance.
...Produce Quality
If were to make improvements in Performance, what are your suggestions for how he/she can improve this?
Achievement	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Systematically works to improve the organization
Demonstrates a well-organized and timely approach to achieve desired results
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Accepts setbacks and challenges as improvement opportunities
Set high standards in their performance
If were to make improvements in Achievement, what are your suggestions for how he/she can improve this?
Empowering Others	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Allows individuals to be responsible for their decisions.
Sets clear goals for others to accomplish.
Avoids micromanaging their employees.
Encourages others to obtain necessary skills and training.
Encourages employees to solve problems on their own.
If were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?
Teamwork	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Encourages others to share ideas to develop team cohesion
Encourages teamwork and collaboration.
Contributes to and supports team decision-making process
Coaches team on how to solve problems, plan, and meet organizational goals and objectives.
Communicates a clear message that teamwork and collaboration are expected.
If were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?
Adaptability	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Develops insights and applies innovative solutions to projects and problems.
Is proactive and takes steps to prepare for changes in the workplace.
Flexible and open to new ideas and encourages others to value change.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
If were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?
Action	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Gets the job done.
Is not afraid to take corrective action when necessary.
Works quickly when faced with difficult problems.
Motivates & supports others to gain skills
Effectively makes decisions
If were to make improvements in Action, what are your suggestions for how he/she can improve this?
Continual Learning	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Sets relevant learning objectives and goals.
Pursues self-improvement through continual learning.
Grasps new ideas, concepts, technical, or business knowledge.
Builds on their strengths while addressing their weaknesses.
Shares best practices with others and learns from others.
If were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?
Leadership	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Able to influence others.
Demonstrates leadership and courage in critical situations.
Effectively leads others.
Gives direct, constructive, and actionable feedback.
Highly effective supervisor.
If were to make improvements in Leadership, what are your suggestions for how he/she can improve this?
Company	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Impresses upon others the important aspects of [Company].
Follows existing procedures and processes.
Attends [Company] gatherings and social events.
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the "basics" as to how [Company] functions/operates.
If were to make improvements in Company, what are your suggestions for how he/she can improve this?
Vision	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Behaves in a way that is consistent with business values & code of conduct
Persuades others to follow the Company's vision.
Clearly articulates a vision for his/her work and inspires others to support it
Develops action plans to align his/her work with the goals of the organization
Works to support the strategy of [Company]
If were to make improvements in Vision, what are your suggestions for how he/she can improve this?

51. What are 's greatest strengths demonstrated this year?
    
    
    
52. What are 's areas for development?
    
    
    
53. Please give any final comments or suggestions for 's assessment.