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 .

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Planning	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Develops an effective plan to guide the project.
Develops a detailed plan outlining tasks, resources, timelines, and deliverables.
Able to stay organized and focused using excellent planning skills.
Develops effective plans to deal with unforeseen circumstances.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
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 the abilities and skills of self and others
Compliments other people when they do good work
Reinforces and rewards employees for accomplishing necessary goals.
Makes people around them feel appreciated and valued.
Says "thank you" to show appreciation for work of others.
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
Adapts to different learning styles of employees as required to make sure employees receive the highest level of training.
Demonstrates adaptability in innovative thought processes.
Creates innovative solutions to unforeseen problems.
Agile and versatile when dealing with issues.
Allows workflows to evolve with the employees' creativity.
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
Fosters an environment built upon trust.
Accepts responsibility for mistakes.
Develops trust and confidence from others.
Establishes relationships of trust, honesty, fairness, and integrity.
Maintains strong relationships with others.
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
Seeks feedback to enhance performance.
Considers other's opinion and suggestions.
Accepts the views of others.
Is visible and approachable.
Looks to others for input.
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
Understands what factors are important for deciding if a decision is "worth it"?
Acts confidently in the absence of guidance.
Decides which long-term goals should be met.
Understands how different perspectives can help make better informed decisions.
Carefully evaluates information before making an important decision.
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
Facilitates change with minimal resistance.
Is a leading force driving changes.
Inspires others to accept changes.
Assists others in understanding changes to the organization.
Inspires others to want to change.
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.
Is planful and organized.
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
Provides opportunities for employee development and growth.
Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.
Assigns tasks that are within the skill levels of employees.
Allows employees the freedom to do tasks how they see fit, but holds them accountable for obtaining results.
Encourages employees to take the initiative when responding to an issue.
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.