Problem Solving - 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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Problem Solving	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Recognizes the challenges that have emerged or are about to emerge.
Gets buy-in from constituents before implementing solutions.
Reacts to problems as they arise.
Measures the solution's impact on the desired outcomes and identifyies any deviations from the expected performance.
Fosters a willingness to experiment and try new things, even if there's a risk of failure.
If [Participant Name] were to make improvements in Problem Solving, what are your suggestions for how he/she can improve this?
Excellence	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Takes a lot of pride in their work.
Produces high quality work.
Keeps themselves and others focused on constant improvement.
Demonstrates the functional or technical skills necessary to do their job.
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?
Professional Development	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Keep themselves up-to-date of technical/professional issues
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Allows employees to fully participate in employee training and professional development.
Seeks opportunities for professional development.
Quickly acquire and apply new knowledge and skills when needed
If [Participant Name] were to make improvements in Professional Development, what are your suggestions for how he/she can improve this?
Attitude	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Elevates the recognition of their team instead of themselves.
Genuinely concerned about others in the department.
Reflects on missteps with a focus on building future success
Uses affirming language that emphasizes strengths, possibilities, and momentum.
Stands by decisions when appropriate, demonstrating thoughtful risk-taking and ownership.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?
Strategic Insight	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Notices inefficiencies or bottlenecks in workflows before they escalate into larger issues.
Ensures that the department's goals are strategically aligned with the company's goals.
Leverages internal expertise and external partnerships to expand strategic capabilities.
Creates values statement to ensure all employees are working under the same guiding principles.
Observes employees at work to get better insight into the issues they are dealing with.
If [Participant Name] were to make improvements in Strategic Insight, what are your suggestions for how he/she can improve this?
Entrepreneurship	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Exhibits determination and passion in completion of goals.
Balances risks and rewards when making decisions.
Has a strategic awareness on how to promote the organization.
Is comfortable operating in an environment of uncertainty.
Seeks and utilizes mentors to help guide professional development.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?
Planning	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Able to balance the needs of multiple stakeholders in developing the plan for the division.
Is good at planning for the "unexpected".
Develops plans to help manage expectations and project demands.
Develops strategic plans for ensuring competitiveness in the marketplace.
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?

36. Strengths
    
    
    
37. Areas for Development
    
    
    
38. Please give any final comments or suggestions for [Participant Name Here]'s assessment.