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
Is a high achiever.
Determines the objectives for the project.
Has a work ethic with a strong desire to obtain results.
Sets objectives for the department.
Identifies the steps needed to accomplish 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
Prioritizes customer issues based on urgency.
Consistently meets customer's needs.
Meets with customers on a regular basis.
Follows up with any unanswered questions from the customer.
Creates an environment that enables customers to receive excellent service.
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
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Consciously controls own negative emotions in order to keep team morale up.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Steps away from a situation to process appropriate response.
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
Seeks to remove misperceptions that may contribute toward conflict.
Uses structured frameworks for resolving conflicts, such as mediation or facilitated discussions.
Prepares team members to accept differing view points.
Investigates opportunities to achieve mutually beneficial solutions to conflicts.
Examines differences and disagreements for creative and strategic resolutions.
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.
Identifies the role of each department in meeting the strategic goals.
Maintains a strategic focus on external factors impacting the success of the company.
Aligns projects to the strategic goals of the company.
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
Develops of the department's annual budget.
Ensures others follow the correct rules and regulations on fiscal matters.
Keeps excellent records for financial transparency.
Provides budgeting and accounting support to the Company.
Monitors spending.
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.