Quality - 360 Degree Feedback Survey Sample #1

Instructions:

The is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses, and will be not making any changes, click the Complete button.

Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Quality	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Encourages employees to produce the best quality products.
Encourages others to achieve high quality standards.
Always strives to produce the highest quality work products.
Encourages others to produce the highest quality work products.
Holds employees accountable for their quality of work.
If were to make improvements in Quality, what are your suggestions for how he/she can improve this?
Integrity	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Fosters an environment built upon trust.
Protects the integrity and confidentiality of information
Follows tasks to completion.
Maintains strong relationships with others.
Accepts responsibility for mistakes.
If were to make improvements in Integrity, what are your suggestions for how he/she can improve this?
Continual Learning	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Shares best practices with others and learns from others.
Sets relevant learning objectives and goals.
Builds on their strengths while addressing their weaknesses.
Grasps new ideas, concepts, technical, or business knowledge.
Pursues self-improvement through continual learning.
If were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?
Leadership	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Takes ownership and accountability for results
Demonstrates leadership and courage in critical situations.
Able to influence others.
Gives direct, constructive, and actionable feedback.
Effectively leads others.
If were to make improvements in Leadership, what are your suggestions for how he/she can improve this?
Persuasion and Influence	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Attempts to persuade others rather than simply control them.
Persuades others to consider alternative points of view.
Develops a good rapport with others.
Able to express own goals and needs.
Understanding what others need.
If were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?
Technical	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Seeks information from others as needed.
Knows how to produce high quality products/work.
Willingly shares information and expertise; sought out as resource by others
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Is knowledgeable of procedures or systems necessary for the job.
If were to make improvements in Technical, what are your suggestions for how he/she can improve this?
Interpersonal Skills	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Anticipates the concerns of other employees.
Demonstrates willingness to work with others.
Comes across as credible, knowledgeable and sincere
Creates an atmosphere that supports the open expression of ideas
Effectively manages conflicts by dealing with them directly and immediately
If were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?
Developing Others	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Creates opportunities for professional development.
Assesses employees' developmental needs.
Assigns tasks and responsibilities to develop skills of others.
Tries to ensure employees are ready to move to the next level.
Recognizes and celebrates accomplishments of others.
If were to make improvements in Developing Others, what are your suggestions for how he/she can improve this?
Others	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Treats others with respect and dignity.
Is able to see issues from others' perspectives.
Able to see issues from others' perspectives.
Works across boundaries within the organization.
Works effectively with people from other departments.
If were to make improvements in Others, what are your suggestions for how he/she can improve this?
Entrepreneurship	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Encourages dynamic growth opportunities.
Encourages risk taking for developing potential business opportunities.
Finds unique ways to go around barriers to success.
Has a strategic awareness on how to promote the organization.
Excellent at managing relationships with stakeholders.
If were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?
Global Perspective	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Accepts setbacks and challenges in foreign markets as improvement opportunities
Analyzes global issues/problems that are having a large impact on the Company.
Forms strong client relationships with international partners.
Aligns personal vision with global strategies.
Understands how cultures differ and how these differences impact work behavior.
If were to make improvements in Global Perspective, what are your suggestions for how he/she can improve this?

56. What are 's greatest strengths demonstrated this year?
    
    
    
57. What are 's areas for development?
    
    
    
58. Please give any final comments or suggestions for 's assessment.