Responsibility - 360 Degree Feedback Survey Sample #2

Instructions

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 and the goals they were asked to achieve. 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 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.

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

Responsible	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
...takes personal responsibility for results.
Is a person you can trust.
Completes assigned work tasks.
Holds herself / himself accountable to goals / objectives
Sets a good example.
What are your suggestions for how can make improvements in Responsible?
Emotional Intelligence	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Is able to express themselves clearly.
Accurately perceives the emotional reactions of others.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to control their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
What are your suggestions for how can make improvements in Emotional Intelligence?
Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Delegate tasks effectively
Sets an example for others to follow
Makes you feel enthusiastic about your work
Takes responsibility for things that go wrong
Is ready to offer help
What are your suggestions for how can make improvements in Management?
Supervisory Skills	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Provides constructive, ongoing feedback.
Maintains good working relationships with employees.
Delegates effectively.
Treats all staff equitably.
Resolves personnel problems quickly and effectively.
What are your suggestions for how can make improvements in Supervisory Skills?
Professional Development	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Contributing fully to the extent of their skills
Seeks opportunities for continuous learning.
Allows employees to fully participate in employee training and professional development.
Seeks opportunities for professional development.
What are your suggestions for how can make improvements in Professional Development?
Persuasion and Influence	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Has excellent influencing/negotiating skills.
Able to express own goals and needs.
Understanding what others need.
Seeks to obtain consensus or compromise.
Attempts to persuade others rather than simply control them.
What are your suggestions for how can make improvements in Persuasion and Influence?
Objectives	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Communicates goals and objectives to employees.
Works toward achieving established goals and objectives.
Establishes goals and objectives.
Sets long-term and short-term goals.
Effectively organizes resources and plans
What are your suggestions for how can make improvements in Objectives?
Client Focus	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Maintains strong relationships with clients.
Forms strong client relationships
Ensures client commitments and requirements are met or exceeded
Satisfies client needs.
Obtains feedback to ensure client needs are being met.
What are your suggestions for how can make improvements in Client Focus?
Co-worker Development	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
What are your suggestions for how can make improvements in Co-worker Development?
Entrepreneurship	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Finds unique ways to go around barriers to success.
Has a strategic awareness on how to promote the organization.
Able to adapt the department to changing business demands and climate.
Excellent at managing relationships with stakeholders.
Exhibits determination and passion in completion of goals.
What are your suggestions for how can make improvements in Entrepreneurship?
Company	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Impresses upon others the important aspects of [Company].
Understands the "basics" as to how [Company] functions/operates.
Follows existing procedures and processes.
Understands how decisions impact other business units beyond their immediate department of work group.
Attends [Company] gatherings and social events.
What are your suggestions for how can make improvements in Company?

55. Strengths
    
    
    
56. Areas for Development
    
    
    
57. Please give any final comments or suggestions for 's assessment.