Self-Management - 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 5 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Self Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Does not allow own emotions to interfere with the performance of others.
Consciously controls own negative emotions in order to keep team morale up.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
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?
Punctuality	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Invoices clients on a timely basis.
Conducts appointments at scheduled start time.
Starts the workday when scheduled.
Starts meetings on time.
Avoids making personal phone calls during working hours.
If [Participant Name] 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
Visibly supports and encourages diversity in style and background.
Contributes to a positive work environment.
Treats all people fairly and with respect.
Contributes to a positive and fun work environment.
Is gracious and professional in their interactions with others.
If [Participant Name] 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
Coordinates the work of a team by assigning tasks to other team members.
Assesses current capabilities before committing to new requests from customers.
Assigns tasks based on skills of team members.
Keeps track of multiple assignments and deadlines.
Can multitask while performing all of their other responsibilities and activities.
If [Participant Name] 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
Communicates goals and objectives to employees.
Organizes and schedules events, activities, and resources.
Effectively organizes resources and plans
Works toward achieving established goals and objectives.
Consistently provides me with timely feedback for improving my performance.
If [Participant Name] 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
Values the input from others.
Gives employees the resources they need to complete the job.
Sets goals to allow the employee to have more autonomy over their work.
Acknowledges and appreciates employees for their proactive decision-making.
Motivates and encourages employees to be successful in their jobs.
If [Participant Name] 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
Helpful
Forms working relationships with employees from other departments.
Is able to see issues from others' perspectives.
...treats others with respect and dignity.
Works across boundaries within the organization.
If [Participant Name] 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
Able to use corporate politics to advance department objectives.
Effective in communicating with others within the organization.
Adept at navigating within the culture of the department.
Able to explain departmental policies and procedures to others.
Understands departmental policies and procedures.
If [Participant Name] 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
Attends training seminars and conferences to increase skills in working with others globally.
Works well with others from different cultural backgrounds.
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
Facilitates open communication with individuals from other countries.
Can effectively deliver presentations to international clients.
If [Participant Name] 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 [Participant Name Here]'s assessment.