Responsibility - 360 Degree Feedback Survey Sample #7

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 and .

Responsible	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
...takes personal responsibility for results.
Works in a way that makes others want to work with her/him.
Sets a good example.
Completes assigned work tasks.
Sets a good example
If were to make improvements in Responsible, what are your suggestions for how he/she can improve this?
Managing Performance	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Sets specific and measurable goals for others and follows through to completion.
Examines the most effective ways for accomplishing goals.
Is consistent in disciplinary/corrective actions.
Recognizes and values good performance.
Reviews job performance shortly after completion of tasks.
If were to make improvements in Managing Performance, what are your suggestions for how he/she can improve this?
Supervisory Skills	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Delegates effectively.
Maintains good working relationships with employees.
Resolves personnel problems quickly and effectively.
Is aware of the unique strengths of each employee.
Encourages employees to achieve their full potential.
If were to make improvements in Supervisory Skills, what are your suggestions for how he/she can improve this?
Fiscal Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Keeps excellent records for financial transparency.
Develops budgets and plans for various programs and initiatives.
Effective in using Company's resources.
Develops of the department's annual budget.
Ensures others follow the correct rules and regulations on fiscal matters.
If were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?
Adaptability	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Able to work effectively with new people and new teams.
Flexible and open to new ideas and encourages others to value change.
Is flexible and open minded in dealing with others.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Able to quickly learn new ways of performing their job.
If were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?
Integrity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Protects the integrity and confidentiality of information
Does what was promised.
Follows tasks to completion.
Fosters an environment built upon trust.
Accepts responsibility for mistakes.
If were to make improvements in Integrity, what are your suggestions for how he/she can improve this?
Emotional Intelligence	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to control their own emotions.
Is able to express themselves clearly.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Able to understand others' points of view.
If were to make improvements in Emotional Intelligence, what are your suggestions for how he/she can improve this?
Juggling Multiple Responsibilities	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Can multi-task while performing all of their other responsibilities and activities.
Assesses current capabilities before committing to new requests from customers.
Plans and organizes continuously while performing all other responsibilities and activities.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
If were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?
Technical	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Willingly shares information and expertise; sought out as resource by others
Willingly shares his/her technical expertise; sought out as resource by others
Demonstrates mastery of the technical competencies required in his/her work.
If were to make improvements in Technical, what are your suggestions for how he/she can improve this?
Partnering/Networking	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Builds alliances between departments and teams.
Collaborates with others to accomplish goals and objectives.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Supports a partnering/networking culture.
Maintains infrastructure to support partnerships and networks.
If were to make improvements in Partnering/Networking, what are your suggestions for how he/she can improve this?

51. Strengths
    
    
    
52. Areas for Development
    
    
    
53. Please give any final comments or suggestions for 's assessment.