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
Concentrates efforts on the most urgent needs.
Works hard despite obstacles that impede progress.
Measures progress toward the goal.
Determines what resources will be needed to achieve the objectives.
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
Keeps the customer informed of all progress.
Is pro-active in dealing with customers and addressing their needs.
Competent in managing customer projects.
Creates high quality products for the customers.
Focuses on providing excellent customer 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
Steps away from a situation to process appropriate response.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Does not allow own emotions to interfere with the performance of others.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
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
Influences attitudes, beliefs, and behaviors in a way that fosters resolution and cooperation.
Deals effectively with employee grievances.
Persuades individuals to alter their underlying work behaviors which may have led to the conflict.
Promotes openness and urges individuals to explore various options for resolving the conflict.
Works to reduce misunderstandings and poor communication.
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 plan for adapting the organization to better respond to external changes in the marketplace.
Looks for opportunities to enhance contributions to the bottom line.
Develops a strategic vision for the future.
Creates a vision for the organization based on how the organization should appear in the future.
Gives adequate consideration to the time and resources available.
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
Monitors spending.
Develops of the department's annual budget.
Provides budgeting and accounting support to the Company.
Keeps excellent records for financial transparency.
Ensures others follow the correct rules and regulations on fiscal matters.
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.