Planning- 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 .

Planning	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Divides complex tasks into smaller steps to measure progress toward a goal.
Understands the process for developing strategic plans for the organization.
Anticipates resources needed to successfully implement a plan or project.
Accurately estimates the amount of materials/supplies needed for the project.
Purchases equipment and software that will be needed in the future.
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
Recognizes team members who offer a significant contribution to a project.
Offers recognition in a timely manner.
Readily shares credit and gives others opportunity for visibility.
Lets employees know when they have done well
Reinforces and rewards employees for accomplishing necessary goals.
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
Accommodates the needs of employees when requests for time off are made.
Regularly assesses current methods, welcomes feedback, and is willing to implement changes to improve efficiency and effectiveness.
Remains calm when dealing with multiple issues.
Adapts strategies to fit the specific needs of each situation.
Effectively manages changes in financial resources.
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
Demonstrates sincerity in actions with others.
Develops trust and confidence from others.
Follows tasks to completion.
Does what was promised.
Accepts responsibility for mistakes.
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
Actively seeks feedback from others.
Asks others for their ideas and opinions.
Shares past experiences with others as learning opportunities.
Looks to others for input.
Open to the suggestions of others.
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
Makes creative decisions.
Makes decisions independently (without having to be told what or how).
Makes decisions based on novel interpretations of the facts.
Examines relevant factors needed to make a decision.
Determines constraints that may impact what decisions are acceptable.
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 team members to change their attitudes.
Is a leading force driving changes.
Is an inspiration for others to accept the recent changes.
Effective in dealing with ambiguous and challenging situations.
Supports new initiatives for organizational changes to improve effectiveness.
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
Produces high quality work.
Is planful and organized.
Takes a lot of pride in their work.
Demonstrates the analytical skills to do their job.
Keeps themselves and others focused on constant improvement.
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
Delegates authority to employees and allows them to make their own decisions.
Creates a culture where employees are recognized and rewarded for taking the initiative and making impactful choices.
Encourages employees to take on greater responsibilities.
Demonstrates confidence in the abilities of subordinates.
Gives employees opportunities to demonstrate their skills.
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.