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 .

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Results Oriented	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Works toward achievement of goals even when confronted with obstacles.
Makes sure employees have the resources they need to achieve their results.
Determines what resources will be needed to achieve the objectives.
Provides clear expectations for employees.
Keeps track of progress toward the results.
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
Seeks feedback from customers to improve service and demonstrate care for their experience.
Exhibits a positive attitude even when dealing with difficult customers.
Exceeds expectations of the customers.
Takes time to explain options clearly and ensures the customer feels informed.
Makes customer's needs a top priority.
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
Consciously controls own negative emotions in order to keep team morale up.
Steps away from a situation to process appropriate response.
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.
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
Reframes conflicts as opportunities to innovate and create new solutions to problems.
Discusses conflict situations with supervisor.
Creates an environment where team members work collaboratively rather than compete with one another.
Prefers to resolve conflicts through negotiation rather than coersion.
Ensures that all team members feel respected and heard.
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
Makes sure that all departments/teams are contributing toward the success of the strategy.
Undertakes a SWOT analysis to determine the best strategy to move forward.
Develops strategies to seek new opportunities.
Identifies and addresses strategic risks impacting operations.
Lets employees know how their roles contribute toward the achievement of strategic company objectives.
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.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops budgets and plans for various programs and initiatives.
Provides budgeting and accounting support to the Company.
Effective in using Company's resources.
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.