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
Holds herself / himself accountable to goals / objectives
Sets a good example
Acts as a resource without removing individual responsibility.
Is a person you can trust.
...takes personal responsibility for results.
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
Revises the OKRs required for the position on a quarterly basis.
Clearly articulates the performance requirements for the position.
Rewards individuals who show imagination in developing creative solutions to problems.
Recognizes team members when they contribute significantly to the team.
Informs team members how their performance compares to stated goals.
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
Makes decisions based on all relevant information.
Gives feedback that includes both a recognition of the employee's strengths and areas where the employee could do better.
Conducts regular performance management sessions.
Delegates effectively.
Completes assessments in a timely manner.
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
Provides budgeting and accounting support to the Company.
Ensures others follow the correct rules and regulations on fiscal matters.
Monitors expenses and verifies the need for items purchased.
Effective in using Company's resources.
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
Can take on new assignments.
Effective in working with different personnel of the team.
Able to adjust to changes as needed.
Able to adapt to changes in technology and processes.
Is aware of changes in the environment.
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
Protects the integrity and confidentiality of information
Establishes relationships of trust, honesty, fairness, and integrity.
Demonstrates honesty and truthfulness at all times.
Maintains strong relationships with others.
Fosters a high standard of ethics and integrity.
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
Accurately perceives the emotional reactions of others.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Able to understand others' points of view.
Is able to manage their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
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
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Coordinates the work of a team by assigning tasks to other team members.
Builds in extra time in the schedule for unplanned events/occurrences.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Ranks the importance of tasks to make sure critical tasks are completed first.
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 his/her technical expertise; sought out as resource by others
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
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
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
Uses new techniques and procedures learned through established networks of professionals.
Facilitates open and honest communication to build trust and mutual respect.
Networks with other professionals in the industry to understand best practices.
Fosters cross-department collaboration, facilitates information sharing, and establishes common objectives.
Expands network of colleagues to include others who may contribute to the department's success.
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.