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 .

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Self Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Does not allow own emotions to interfere with the performance of others.
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.
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.
Avoids making personal phone calls during working hours.
Arrives to meetings on time.
Invoices clients on a timely basis.
Maintains an efficient schedule of activities.
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
Has a concern for employees in the department.
Speaks positively about the organizational direction, helping staff see the bigger picture.
Models resilience in the face of adversity.
Is self-confident and willing to take risks to advance important projects.
Stays optimistic during transitions, reinforcing the idea that change can bring new opportunities.
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
Organizes tasks for the most efficient order of completion.
Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
Ensures that assignments are prioritized according to the needs of the department/company.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Keeps track of multiple assignments and deadlines.
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
Works toward achieving established goals and objectives.
Assures [Company] principles are understood, employed & pursued.
Establishes goals and objectives.
Effectively organizes resources and plans
Sets long-term and short-term goals.
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
Encourages employees to take on greater responsibilities.
Allows employees the opportunity to take time off when needed.
Permits employees to take training to become more independent.
Assigns important tasks to subordinates.
Allows the team to take responsibility for the project.
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
Includes others in the decision making processes.
Forms working relationships with employees from other departments.
Supports the efforts of other employees in implementing solutions to problems.
Respects the opinions of other employees.
...treats others with respect and dignity.
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
Understands the current organizational culture.
Able to use corporate politics to advance department objectives.
Able to explain departmental policies and procedures to others.
Gets things done through the department.
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
Engages in problem solving with individuals outside of the country.
Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
Applies knowledge of overseas markets.
Demonstrates a curiosity about diverse individuals and cultures.
Facilitates open communication with individuals from other countries.
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.