Results Oriented - 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 .

Results Oriented	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Explains the "whys" behind organizational objectives
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Directs team in prioritizing daily work activities
Provides clear expectations for employees.
Helps others when free-time is available.
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
Competent in managing customer projects.
Thoroughly understands the needs of the customer.
Builds products that meet the unique needs of each customer.
Ensures customers are comfortable with the services provided.
Consistently models positive customer service attitudes.
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
Uses patience and self-control in working with customers and associates.
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.
Steps away from a situation to process appropriate response.
Analyzes interpersonal problems instead of reacting to them.
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
Assists team members by helping them see the other point of view.
Tries to understand others' point of view before making judgments
Helps employees to think through alternative ways to resolve conflict situations.
Identifies and takes steps to prevent potential confrontations.
Deals effectively with employee grievances.
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
Understands & contributes to development of strategic goals.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Understands their role within the organization.
Able to decline a poor strategy by proposing alternate strategies.
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
Develops of the department's annual budget.
Effective in using Company's resources.
Ensures others follow the correct rules and regulations on fiscal matters.
Develops budgets and plans for various programs and initiatives.
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?

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