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
Establishes a course of action for self and others to accomplish specific goals.
Sets the appropriate sequence of tasks to ensure completion of the project.
Anticipates challenges and has plans to overcome them.
Notifies staff when the plan is not on schedule.
Creates effective project plans.
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
Is sincerely interested in the suggestions of co-workers
Recognizes team members who offer a significant contribution to a project.
Recognizes individuals for a specific outstanding achievement.
Reinforces and rewards employees for accomplishing necessary goals.
Lets employees know when they have done well
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
Flexible in adjusting to the demands of the market place.
Able to adapt and tailor approaches based on the unique requirements of each scenario.
Exhibits exceptional adaptability in responding to unexpected challenges.
Responds to issues and problems with creative solutions and innovation.
Acts decisively in frequently changing and uncertain environment.
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.
Fosters a high standard of ethics and integrity.
Maintains strong relationships with others.
Establishes relationships of trust, honesty, fairness, and integrity.
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
Shares past experiences with others as learning opportunities.
Seeks feedback to enhance performance.
Open to the suggestions of others.
Is easy to approach with ideas and opinions.
Considers other's opinion and suggestions.
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
Carefully evaluates information before making an important decision.
Acts confidently in the absence of guidance.
Is confident in the decisions they make.
Is open to listening to others who may have different ideas.
Remains focused on the immediate goal when making decisions.
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.
Supports new initiatives for organizational changes to improve effectiveness.
Able to get team members to change their attitudes.
Supports the Company's efforts to implement changes.
Is an inspiration for others to accept the recent 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
Keeps themselves and others focused on constant improvement.
Demonstrates the functional or technical skills necessary to do their job.
Demonstrates the analytical skills to do their job.
Takes a lot of pride in their work.
Can be counted on to add value wherever they are involved.
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
Gives employees the opportunity to make their own decisions at work.
Gives employees important tasks to expand their career options.
Supports the decisions of others.
Establishes goals that allow employees top operate independently in the field.
Allows employees the freedom to do tasks how they see fit, but holds them accountable for obtaining results.
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.