Performance - 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 .

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Performance	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Allocates time appropriately for complex tasks to avoid last-minute rushes.
Is open to new ideas and willing to learn.
Makes tough decisions in difficult environments.
Regularly revisits goals to ensure they remain relevant and achievable.
Breaks broad objectives into concrete milestones to guide day-to-day work.
If [Participant Name] were to make improvements in Performance, what are your suggestions for how he/she can improve this?
Responsible	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Holds herself / himself accountable to goals / objectives
Works in a way that makes others want to work with her/him.
...takes personal responsibility for results.
Responsible for setting the vision of the department.
Is a person you can trust.
If [Participant Name] were to make improvements in Responsible, what are your suggestions for how he/she can improve this?
Empowering Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Encourages employees to make informed decisions based on their own judgment and reasoning.
Gives employees opportunities to demonstrate their skills.
Trusts employees with important responsibilities.
Allows individuals to be responsible for their decisions.
Gives employees the opportunity to make their own decisions at work.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?
Partnering/Networking	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Identifies the right alliance partners with complementary and compatible services and resources.
Contacts possible partners to seek new opportunities.
Works in tandem with colleagues to pursue common goals and needs.
Creates joint initiatives or projects that serve the common interests of all parties.
Develops memoranda of understanding (MOUs) or service-level agreements (SLAs) that formalize commitments and ensure mutual accountability.
If [Participant Name] were to make improvements in Partnering/Networking, what are your suggestions for how he/she can improve this?
Teamwork	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Regularly attends team meetings.
Contributes to and supports team decision-making process
Initiates collaborative processes to reduce team conflicts.
Is a role model of commitment to advancing the team's mission.
Committed to the team's success.
If [Participant Name] were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?
Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Consistently demonstrates ability and willingness to trust others.
Forms working relationships with employees from other departments.
Supports the efforts of other employees in implementing solutions to problems.
Treats others with respect and dignity.
Helpful
If [Participant Name] were to make improvements in Others, what are your suggestions for how he/she can improve this?
Company	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Coordinates efforts with other teams to support enterprise-wide campaigns and goals.
Adjusts team focus when needed to support emerging company initiatives.
Sets up a work environment for the department that is clean and quiet.
Is very clear about the direction of the company.
Provides employees the space and tools needed to stay focused.
If [Participant Name] were to make improvements in Company, what are your suggestions for how he/she can improve this?

36. Strengths
    
    
    
37. Areas for Development
    
    
    
38. Please give any final comments or suggestions for [Participant Name Here]'s assessment.