Responsibility - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are 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 this manager'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.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

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 .

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Responsible	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Responsible for setting the vision of the department.
Completes assigned work tasks.
Sets a good example
...takes personal responsibility for results.
Works in a way that makes others want to work with her/him.
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
Assigns responsibility for meeting specific objectives.
Recognizes employees who have courage in persevering against great odds and difficulties.
Sets specific and measurable goals for others and follows through to completion.
Sets and maintains high standards for self and others.
Establishes measures of performance.
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
Determines the training and development needs of employees and staff.
Gives employees the ability to complete their tasks as they see fit.
Provides clear expectations of outcomes during performance reviews.
Empowers employees to make their own decisions in the field.
Seeks to enhance the performance of employees under their supervision.
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
Develops of the department's annual budget.
Monitors expenses and verifies the need for items purchased.
Develops budgets and plans for various programs and initiatives.
Keeps excellent records for financial transparency.
Ensures others follow the correct rules and regulations on fiscal matters.
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
Adapts to work successfully in a wide variety of situations and with a variety of coworkers.
Adjusts communication style to meet the needs of the audience.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Uses tools in innovative ways to solve problems.
Is open to change and adjusts plans when needed.
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
Is highly productive by efficiently managing time and resources to contribute significantly to the team's goals.
Fosters a commitment to excellence and attention to detail.
Builds respect and trust by setting high standards of integrity.
Embodies the principles of integrity, dedication, and excellence, by continually striving to make a positive impact and drive the success of the team and organization.
Implements strict access controls to ensure that only authorized individuals are able to access specific data records.
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 express themselves clearly.
Is able to manage their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to control their own emotions.
Accurately perceives the emotional reactions of others.
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
Assesses current capabilities before committing to new requests from customers.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Is aware of the deadlines for specific tasks/assignments.
Assigns tasks based on skills of team members.
Plans and organizes continuously while performing all other responsibilities and activities.
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
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
Willingly shares information and expertise; sought out as resource by others
Is knowledgeable of procedures or systems necessary for the job.
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
Builds alliances between departments and teams.
Enters into licensing agreements to share intellectual property.
Promotes a culture of open collaboration, offering ample opportunities and incentives for knowledge sharing and mutual learning.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Develops networks and builds alliances.
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.