Responsibility - 360 Degree Feedback Survey Sample #7





360 Feedback Survey

Questionnaires Measuring Responsibility:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.

Sample Result Document:
Sample Results
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
  1. Responsible for setting the vision of the department.
  1. Sets a good example
  1. Behavior is ethical and honest.
  1. ...takes personal responsibility for results.
  1. Is a person you can trust.
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
  1. Identifies specific actions to be addressed through the remediation plan.
  1. Reviews monthly or weekly reports of quantitative metrics (sales/production) to measure performance level.
  1. Implements remediation plans as needed.
  1. Revises the Objectives and Key Results (OKRs) required for the position on a quarterly basis.
  1. Initiates probationary actions for employees with sub-par 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
  1. Makes sure employees are accomplishing important objectives.
  1. Communicates effectively with employees.
  1. Works well with the team members.
  1. Recognizes those who have exceeded expectations.
  1. Effectively uses rewards to help motivate 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
  1. Develops budgets and plans for various programs and initiatives.
  1. Provides budgeting and accounting support to the Company.
  1. Keeps excellent records for financial transparency.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Monitors expenses and verifies the need for items purchased.
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
  1. Adjusts to the new vision and mission of the company.
  1. Flexible and open to new ideas and encourages others to recognize the value of change.
  1. Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
  1. Able to adapt to changes in technology and processes.
  1. Responsive to the needs of others.
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
  1. Establishes relationships of trust, honesty, fairness, and integrity.
  1. Demonstrates sincerity in actions with others.
  1. Fosters an environment built upon trust.
  1. Develops trust and confidence from others.
  1. Demonstrates honesty and truthfulness at all times.
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
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Is able to express themselves clearly.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Is able to manage their own emotions.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
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
  1. Prioritizes tasks for efficiency.
  1. Assesses current capabilities before committing to new requests from customers.
  1. Ensures that assignments are prioritized according to the needs of the department/company.
  1. Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
  1. Spends the most time and effort on critical tasks 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
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Knows how to produce high quality products/work.
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Willingly shares information and expertise; sought out as resource by others
  1. 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
  1. Optimizes processes by leveraging each function's strength.
  1. Engages in collaborative training sessions or workshops to build skills across organizations.
  1. Engages in continuous dialogue through regular meetings or virtual meetups.
  1. Organizing team-building activities to strengthen bonds between colleagues.
  1. Develops networks with other companies to reduce costs and improve services.
If [Participant Name] were to make improvements in Partnering/Networking, what are your suggestions for how he/she can improve this?



  1. Strengths


  2. Areas for Development


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.