Results Oriented - 360 Degree Feedback Survey Sample #1

Instructions:

The is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses, and will be not making any changes, click the Complete button.

Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Results Oriented	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Stays focused on meeting the needs of customers.
Encourages a high-energy, fun work environment and coaches others on how to do the same
Inspires and motivates co-workers to be productive and energetic at work
Explains the "whys" behind organizational objectives
Provides clear expectations for employees.
If were to make improvements in Results Oriented, what are your suggestions for how he/she can improve this?
Technical	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Willingly shares information and expertise; sought out as resource by others
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Seeks information from others as needed.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Knows how to produce high quality products/work.
If were to make improvements in Technical, what are your suggestions for how he/she can improve this?
Interpersonal Skills	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Able to work with individuals at all levels of the Company.
Anticipates the concerns of other employees.
Uses tact, compassion, and sensitivity in interactions with others.
Effectively manages conflicts by dealing with them directly and immediately
Creates an atmosphere that supports the open expression of ideas
If were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?
Communication Skills	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Addresses issues of key importance to stakeholders.
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
Communications with department leadership
An effective listener who is responsive to information needs.
Is an effective communicator
If were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?
Continual Learning	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Grasps new ideas, concepts, technical, or business knowledge.
Pursues self-improvement through continual learning.
Sets relevant learning objectives and goals.
Builds on their strengths while addressing their weaknesses.
Shares best practices with others and learns from others.
If were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?
Developing Others	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Provides constructive feedback to others.
Tries to ensure employees are ready to move to the next level.
Creates a work environment that fosters positive feedback to employees.
Recognizes and celebrates accomplishments of others.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
If were to make improvements in Developing Others, what are your suggestions for how he/she can improve this?
Leadership	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Gives direct, constructive, and actionable feedback.
Effectively leads others.
Able to influence others.
Highly effective supervisor.
Acts decisively in implementing decisions.
If were to make improvements in Leadership, what are your suggestions for how he/she can improve this?
Persuasion and Influence	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Persuades others to consider alternative points of view.
Understanding what others need.
Has excellent influencing/negotiating skills.
Attempts to persuade others rather than simply control them.
Communicates effectively with others.
If were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?
Integrity	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Accepts responsibility for mistakes.
Establishes relationships of trust, honesty, fairness, and integrity.
Maintains strong relationships with others.
Protects the integrity and confidentiality of information
Fosters a high standard of ethics and integrity.
If were to make improvements in Integrity, what are your suggestions for how he/she can improve this?
Quality	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Holds employees accountable for their quality of work.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Encourages others to achieve high quality standards.
Encourages others to produce the highest quality work products.
Reflects on what is working and what could be improved.
If were to make improvements in Quality, what are your suggestions for how he/she can improve this?
Entrepreneurship	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Encourages risk taking for developing potential business opportunities.
Devotes a certain amount of time and effort to developing new business opportunities.
Able to adapt the department to changing business demands and climate.
Encourages dynamic growth opportunities.
Exhibits determination and passion in completion of goals.
If were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?
Global Perspective	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
Applies knowledge of overseas markets.
Forms strong client relationships with international partners.
Understands how cultures differ and how these differences impact work behavior.
Sets the example for team on importance of cultural awareness.
If were to make improvements in Global Perspective, what are your suggestions for how he/she can improve this?

61. What are 's greatest strengths demonstrated this year?
    
    
    
62. What are 's areas for development?
    
    
    
63. Please give any final comments or suggestions for 's assessment.