Responsibility - 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 .

Responsible	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Acts as a resource without removing individual responsibility.
Behavior is ethical and honest.
Sets a good example
Works in a way that makes others want to work with her/him.
Sets high personal standards of performance.
If [Participant Name] 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
Acknowledges employee contributions that support the bottom line.
Makes sure commitments are understood and met.
Ensures that team goals are met 85 percent of the time.
Ensures employees understand the goals of the organization/department.
Continuously measures performance and provides feedback to employees regularly.
If [Participant Name] 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
Encourages employees to achieve their full potential.
Promotes teamwork and cooperation within the department.
Resolves personnel problems quickly and effectively.
Is aware of the unique strengths of each employee.
Appropriately recognizes and rewards employees.
If [Participant Name] 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
Effective in using Company's resources.
Develops of the department's annual budget.
Monitors expenses and verifies the need for items purchased.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Monitors spending.
If [Participant Name] 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 adapt to changes in technology and processes.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Is flexible and open minded in dealing with others.
Recognizes and implements changes to enhance efficiency and effectiveness.
Is proactive and takes steps to prepare for changes in the workplace.
If [Participant Name] 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
Establishes relationships of trust, honesty, fairness, and integrity.
Does what was promised.
Fosters an environment built upon trust.
Follows tasks to completion.
Maintains strong relationships with others.
If [Participant Name] 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
Is able to manage their own emotions.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
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 attentive to emotional cues and interprets others' feelings correctly.
If [Participant Name] 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
Plans and organizes continuously while performing all other responsibilities and activities.
Assesses current capabilities before committing to new requests from customers.
Ranks the importance of tasks to make sure critical tasks are completed first.
Switches attention to more urgent tasks when necessary.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
If [Participant Name] 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
Willingly shares information and expertise; sought out as resource by others
Knows how to produce high quality products/work.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Willingly shares his/her technical expertise; sought out as resource by others
Demonstrates mastery of the technical competencies required in his/her work.
If [Participant Name] 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
Supports and encourages relationships that are created by diverse team members.
Creates value within the Company by building networks.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Seeks an understanding of diverse functions within the Company.
Maintains infrastructure to support partnerships and networks.
If [Participant Name] 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 [Participant Name Here]'s assessment.