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
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Analyzes interpersonal problems instead of reacting to them.
Consciously controls own negative emotions in order to keep team morale up.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
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
Avoids making personal phone calls during working hours.
Responds to requests for information in a timely manner.
Maintains an efficient schedule of activities.
Arrives to meetings on time.
Conducts appointments at scheduled start time.
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
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.
Contributes to a positive and fun work environment.
Treats all people fairly and with respect.
Contributes to a positive work environment.
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
Switches attention to more urgent tasks when necessary.
Keeps track of multiple assignments and deadlines.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
Plans and organizes continuously while performing all 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
Able to organize work.
Sets long-term and short-term goals.
Organizes and schedules events, activities, and resources.
Establishes goals and objectives.
Effectively organizes resources and plans
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
Gives employees autonomy to complete tasks on their own.
Recognizes and rewards employees who make important decisions and take action when necessary.
Assigns tasks that are within the skill levels of employees.
Allows individuals to be responsible for their decisions.
Lets employees make their own decisions.
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
Treats others with respect and dignity.
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.
Works effectively with people from other departments.
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
Effective in communicating with others within the organization.
Able to deal with sensitive issues with tact and professionalism.
Able to explain departmental policies and procedures to others.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Understands the current organizational culture.
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.
Exemplifies the skills of a global worker.
Works well with others from different cultural backgrounds.
Forms strong client relationships with international partners.
Applies knowledge of overseas markets.
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.