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
Sets high personal standards of performance.
Is a person you can trust.
Holds herself / himself accountable to goals / objectives
...takes personal responsibility for results.
Responsible for setting the vision of the department.
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
Measures performance of goals and objectives.
Effectively uses the current performance review process.
Measures performance using standard production quotas.
Recognizes and values good performance.
Ensures the eligibility of the proposed award recipient.
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
Decides which team members are assigned to each job.
Determines appropriate staffing levels for the job.
Effective in resolving conflicts to mutual satisfaction of the parties.
Uses metrics and benchmarks established by the department.
Recognizes when employees have completed major milestones.
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.
Provides budgeting and accounting support to the Company.
Monitors expenses and verifies the need for items purchased.
Develops budgets and plans for various programs and initiatives.
Develops of the department's annual budget.
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
Adjusts plans to meet the needs of new constraints.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Learns from personal experiences and/or mistakes.
Adjusts tactics and strategies.
Flexible and open to new ideas and encourages others to recognize the value of change.
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
Demonstrates sincerity in actions with others.
Protects the integrity and confidentiality of information
Follows tasks to completion.
Demonstrates honesty and truthfulness at all times.
Establishes relationships of trust, honesty, fairness, 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.
Is attentive to emotional cues and interprets others' feelings correctly.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to manage their own emotions.
Able to understand others' points of view.
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.
Builds in extra time in the schedule for unplanned events/occurrences.
Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Coordinates the work of a team by assigning tasks to other team members.
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
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
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.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
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
Maintains infrastructure to support partnerships and networks.
Supports and encourages relationships that are created by diverse team members.
Partners with peers to obtain influence within the Company.
Collaborates with others to accomplish goals and objectives.
Seeks to reduce institutional roadblocks to information sharing.
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.