Quality - 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 .

Quality	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Analyze what occurred and re-adjusts accordingly when goals are not met.
Encourages others to produce the highest quality work products.
Reflects on what is working and what could be improved.
Encourages employees to produce the best quality products.
Holds employees accountable for their quality of work.
If [Participant Name] were to make improvements in Quality, what are your suggestions for how he/she can improve this?
Juggling Multiple Responsibilities	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Coordinates the work of a team by assigning tasks to other team members.
Builds in extra time in the schedule for unplanned events/occurrences.
Assesses current capabilities before committing to new requests from customers.
Plans and organizes continuously while performing all other responsibilities and activities.
Assigns tasks based on skills of team members.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?
Objectives	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Establishes goals and objectives.
Able to organize work.
Works toward achieving established goals and objectives.
Ability to establish realistic goals.
Effectively organizes resources and plans
If [Participant Name] were to make improvements in Objectives, what are your suggestions for how he/she can improve this?
Customer Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Regularly receives positive feedback from customers.
Is focused on improving customer services.
Anticipates resources needed to meet the customer needs.
Attends to the customer's needs in addition to the specific needs of the project.
Has received good feedback from customers.
If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?
Recognition	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Makes people around them feel appreciated and valued.
Is sincerely interested in the suggestions of co-workers
Lets employees know when they have done well
Recognizes team members who offer a significant contribution to a project.
Finds opportunities to recognize others.
If [Participant Name] were to make improvements in Recognition, what are your suggestions for how he/she can improve this?
Fiscal Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Develops of the department's annual budget.
Keeps excellent records for financial transparency.
Ensures others follow the correct rules and regulations on fiscal matters.
Monitors expenses and verifies the need for items purchased.
Develops budgets and plans for various programs and initiatives.
If [Participant Name] were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?

31. Strengths
    
    
    
32. Areas for Development
    
    
    
33. Please give any final comments or suggestions for [Participant Name Here]'s assessment.