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 .

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Performance	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
...Produce Quality
Works well in this position.
...Overall Performance
Has great overall performance
Listens and responds to issues and problems
Effective in performing his/her job.
Effectively organizes resources and plans
Shown significant improvement in job 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
Proactively identifies and removes barriers that inhibit progress without waiting for direction.
Able to initiate work on projects independently without direct supervision.
Completes tasks without having to be told to do so.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Initiates new projects for the department.
Takes on extra projects after required work is completed.
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
Is open to unique and creative ideas from others.
Collaborates in group decision making.
Avoids promoting a hyper competitive culture in favor of a more collaborative one.
Encourages open communication to support a collaborative environment.
Encourages collaboration with other departments.
Devotes time and energy to empower the team to succeed.
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
Motivates and encourages employees to be successful in their jobs.
Allows employees to make their own decisions.
Set clear goals for assignments.
Trusts employees with important responsibilities.
Provides opportunities for employee development and growth.
Provides support and resources needed to accomplish goals.
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
Maintains an efficient schedule of activities.
Conducts appointments at scheduled start time.
Arrives to meetings on time.
Starts the workday when scheduled.
Starts meetings on time.
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
Converses with customers and clients to get a better insight into their business needs.
Understands how strategic decisions impact constituents within the Company.
Establishes clear, long-term objectives that align with the company's vision and mission.
Responds quickly to customer business inquiries.
Periodically assesses the current market environment.
Ensures employees have easy access to relevant information.
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
Has a strategic awareness on how to promote the organization.
Understands the processes and various stages of business development.
Finds unique ways to go around barriers to success.
Can work effectively in an environment of uncertainty.
Encourages risk taking for developing potential business opportunities.
Takes the initiative to complete tasks.
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
Reduces uncertainty in the department through clear planning and schedules.
Develops proper plans to ensure seamless flow of materials through logistics.
Determines what supplies/equipment will be needed for the project.
Sets the appropriate sequence of tasks to efficiently achieve the goal.
Is able to clearly articulate the plan for the department/district.
Develops plans used to accomplish urgent or critical tasks.
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.