Self-Management - 360 Degree Feedback Survey Sample #7

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 and .

Self Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Consciously controls own negative emotions in order to keep team morale up.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Steps away from a situation to process appropriate response.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
If were to make improvements in Self Management, what are your suggestions for how he/she can improve this?
Punctuality	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Conducts appointments at scheduled start time.
Arrives to meetings on time.
Avoids making personal phone calls during working hours.
Starts the workday when scheduled.
Invoices clients on a timely basis.
If were to make improvements in Punctuality, what are your suggestions for how he/she can improve this?
Attitude	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Builds open and trusting relationships.
Works to eliminate unnecessary work or barriers that get in others' way.
Treats all people fairly and with respect.
Contributes to a positive and fun work environment.
Shows by their actions that they trust in the positive intentions of others.
If were to make improvements in Attitude, what are your suggestions for how he/she can improve this?
Juggling Multiple Responsibilities	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
Plans and organizes continuously while performing all other responsibilities and activities.
Bounces back from daily crisis, disappointments and frustrations.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
If were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?
Objectives	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Assures [Company] principles are understood, employed & pursued.
Consistently provides me with timely feedback for improving my performance.
Works toward achieving established goals and objectives.
Able to organize work.
Sets long-term and short-term goals.
If were to make improvements in Objectives, what are your suggestions for how he/she can improve this?
Empowering Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Allows individuals to be responsible for their decisions.
Encourages others to obtain necessary skills and training.
Provides support and resources needed to accomplish goals.
Encourages employees to solve problems on their own.
Avoids micromanaging their employees.
If were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?
Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Treats others with respect and dignity.
Works effectively with people from other departments.
Supports the efforts of other employees in implementing solutions to problems.
Works across boundaries within the organization.
Forms working relationships with employees from other departments.
If were to make improvements in Others, what are your suggestions for how he/she can improve this?
Organizational Fluency	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Understands departmental policies and procedures.
Adept at navigating within the culture of the department.
Effective in communicating with others within the organization.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Understands the current organizational culture.
If were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?
Global Perspective	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Understands how cultures differ and how these differences impact work behavior.
Applies knowledge of overseas markets.
Considers customers point of view when making decisions.
Forms strong client relationships with international partners.
Can effectively deliver presentations to international clients.
If were to make improvements in Global Perspective, what are your suggestions for how he/she can improve this?

46. Strengths
    
    
    
47. Areas for Development
    
    
    
48. Please give any final comments or suggestions for 's assessment.