Results Oriented - 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 .

Results Oriented	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Stays focused on solving problems and getting work done.
Sets challenging goals to be achieved.
Flexible and willing to change the strategy to better achieve the objectives.
Sets objectives for the department.
Strives to exceed performance benchmarks.
If [Participant Name] were to make improvements in Results Oriented, what are your suggestions for how he/she can improve this?
Customer Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Sets an example for excellent customer relations.
Thoroughly understands the needs of the customer.
Transparent in all communications with the customer.
Ensures all customer commitments and requirements are met or exceeded.
Obtains feedback to ensure customer needs are being met.
If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?
Self Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Does not allow own emotions to interfere with the performance of others.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Uses patience and self-control in working with customers and associates.
Analyzes interpersonal problems instead of reacting to them.
Steps away from a situation to process appropriate response.
If [Participant Name] were to make improvements in Self Management, what are your suggestions for how he/she can improve this?
Conflict Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is supportive of consensus and power sharing.
Steers the process towards compromise and conflict resolution.
Attempts to accommodate vital interests of those who felt alienated or suffered injustice.
Identifies strategies to prevent the recurrence of issues.
Views conflicts as opportunities to create constructive and novel solutions to problems.
If [Participant Name] were to make improvements in Conflict Management, what are your suggestions for how he/she can improve this?
Strategic Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Develops a strategic vision for the future.
Creates deadlines for various components of the strategy.
Ensures adherence to the strategy to sustain achievement of targeted levels of organizational performance.
Creates a strategy to pursue and maintain a competitive advantage in business.
Looks for opportunities to enhance contributions to the bottom line.
If [Participant Name] were to make improvements in Strategic Focus, what are your suggestions for how he/she can improve this?
Fiscal Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Ensures others follow the correct rules and regulations on fiscal matters.
Provides budgeting and accounting support to the Company.
Effective in using Company's resources.
Monitors spending.
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?

31. Strengths
    
    
    
32. Areas for Development
    
    
    
33. Please give any final comments or suggestions for [Participant Name Here]'s assessment.