Performance - 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 .

Performance	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Has great overall performance
...Produce Quality
Able to organize work.
Effective in performing his/her job.
Works effectively in the department.
Shown significant improvement in job performance.
Works well in this position.
...Overall Performance
Sets a high standard for job performance.
If [Participant Name] were to make improvements in Performance, what are your suggestions for how he/she can improve this?
Initiative	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Takes action to establish clear and concise deadlines for tasks to be completed.
Anticipates what needs to be done and makes necessary preparations.
Takes action without being asked.
Immediately works on solving problems.
Completes tasks without having to be told to do so.
Seizes upon opportunities available.
If [Participant Name] were to make improvements in Initiative, 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
Includes all stakeholders in the decision making process.
Builds strong interpersonal relationships for more effective collaboration.
Values the diverse perspectives and skills each team member brings to the table, recognizing that collaborative efforts often lead to more innovative and effective solutions.
Builds consensus among team members.
Works with others to achieve common objectives.
Ensures all team members understand the goals.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Empowering Others	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Set clear goals for assignments.
Allows employees the freedom to do tasks how they see fit, but holds them accountable for obtaining results.
Gives employees the opportunity to make their own decisions at work.
Enables team members to make their own decisions on the project.
Listens to the ideas employees have for solving issues.
Allows for flexibility in the working hours.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?
Punctuality	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Starts meetings on time.
Avoids making personal phone calls during working hours.
Starts the workday when scheduled.
Conducts appointments at scheduled start time.
Maintains an efficient schedule of activities.
Invoices clients on a timely basis.
If [Participant Name] were to make improvements in Punctuality, what are your suggestions for how he/she can improve this?
Business Acumen	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Applies the knowledge of work processes to influence the achievement of business goals
Aware of regulations that impact our business.
Assists others in better understanding the company's operations, goals, and strategic challenges.
Can effectively interpret and analyze data.
Anticipates marketplace opportunities and supports speed to market.
Calculates return on investment (ROI) for various business projects.
If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?
Entrepreneurship	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Finds unique ways to go around barriers to success.
Has a strategic awareness on how to promote the organization.
Seeks and utilizes mentors to help guide professional development.
Understands the processes and various stages of business development.
Exhibits determination and passion in completion of goals.
Encourages dynamic growth opportunities.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?
Planning	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Is able to follow the plan set in place.
Notifies staff when the plan is not on schedule.
Sets the appropriate sequence of tasks to efficiently achieve the goal.
Allows input from others for the 5-year plan.
Understands the process for developing strategic plans for the organization.
Able to identify the needs of the department before a major change.
If [Participant Name] were to make improvements in Planning, what are your suggestions for how he/she can improve this?

52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.