Self-Management - 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 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
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Does not allow own emotions to interfere with the performance of others.
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.
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?
Punctuality	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Conducts appointments at scheduled start time.
Maintains an efficient schedule of activities.
Responds to requests for information in a timely manner.
Avoids making personal phone calls during working hours.
Invoices clients on a timely basis.
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
Contributes to a positive work environment.
Contributes to a positive and fun work environment.
Works to eliminate unnecessary work or barriers that get in others' way.
Shows by their actions that they trust in the positive intentions of others.
Builds open and trusting relationships.
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
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Assigns tasks based on skills of team members.
Assesses current capabilities before committing to new requests from customers.
Is aware of the deadlines for specific tasks/assignments.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
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
Consistently provides me with timely feedback for improving my performance.
Ability to establish realistic goals.
Sets long-term and short-term goals.
Communicates goals and objectives to employees.
Works toward achieving established goals and objectives.
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
Allows employees the freedom to do tasks how they see fit, but holds them accountable for obtaining results.
Gives new tasks to employees.
Creates a culture where employees are given the opportunity to take the initiative and make impactful decisions.
Recognizes the accomplishments of employees when they complete important assignments.
Enables employees to take on more challenging roles.
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
Is able to see issues from others' perspectives.
Consistently demonstrates ability and willingness to trust others.
Supports the efforts of other employees in implementing solutions to problems.
Treats others with respect and dignity.
Helpful
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
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Understands departmental policies and procedures.
Able to use corporate politics to advance department objectives.
Able to deal with sensitive issues with tact and professionalism.
Anticipates problems that may affect the department.
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
Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
Creates an environment where individual differences are valued and supported.
Sets the example for team on importance of cultural awareness.
Cooperates with others on a global scale.
Exemplifies the skills of a global worker.
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.