Planning- 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

is 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 '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.

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 .

Planning	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Has developed an effective strategic plan.
Prioritizes tasks and allocates resources.
Able to stay organized and focused using excellent planning skills.
Able to identify the needs of the department before a major change.
Creates a timeline to specify when each phase of the project should be concluded.
If [Participant Name] were to make improvements in Planning, what are your suggestions for how he/she can improve this?
Recognition	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Readily shares credit and gives others opportunity for visibility.
Recognizes individuals for a specific outstanding achievement.
Makes people around them feel appreciated and valued.
Is sincerely interested in the suggestions of co-workers
Recognizes team members who offer a significant contribution to a project.
If [Participant Name] were to make improvements in Recognition, what are your suggestions for how he/she can improve this?
Flexibility	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is open to alternative ways to accomplish goals
Open to the perspectives/viewpoints of others.
Works effectively during periods of change.
Acts decisively in frequently changing and uncertain environment.
Implements changes as a result of having listened to employees
If [Participant Name] were to make improvements in Flexibility, what are your suggestions for how he/she can improve this?
Integrity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Follows tasks to completion.
Accepts responsibility for mistakes.
Protects the integrity and confidentiality of information
Maintains strong relationships with others.
Establishes relationships of trust, honesty, fairness, and integrity.
If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?
Feedback	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Looks to others for input.
Considers other's opinion and suggestions.
Seeks feedback to enhance performance.
Open to the suggestions of others.
Is easy to approach with ideas and opinions.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?
Decision Making	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Asks for additional information when making critical decisions.
Evaluates information before making a final decision.
Applies creative reasoning in making decisions.
Decides which short- and long-term goals should be created.
Examines for patterns in data to help predict future possibilities.
If [Participant Name] were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?
Change Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Able to get department employees to accept new changes.
Addresses organizational and departmental resistance to changes.
Develops plans for following through on the changes.
Assists others in understanding changes to the organization.
Inspires others to accept changes.
If [Participant Name] were to make improvements in Change Management, what are your suggestions for how he/she can improve this?
Excellence	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Demonstrates the functional or technical skills necessary to do their job.
Keeps themselves and others focused on constant improvement.
Is planful and organized.
Demonstrates the analytical skills to do their job.
Takes a lot of pride in their work.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?
Empowering Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is aware of the skill levels of others.
Encourages employees to solve problems on their own.
Gives employees the opportunity to make their own decisions at work.
Provides support and resources needed to accomplish goals.
Assigns tasks that are within the skill levels of employees.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?

46. Strengths
    
    
    
47. Areas for Development
    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.