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
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Analyzes interpersonal problems instead of reacting to them.
Steps away from a situation to process appropriate response.
Consciously controls own negative emotions in order to keep team morale up.
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.
Maintains an efficient schedule of activities.
Conducts appointments at scheduled start time.
Starts the workday when scheduled.
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
Shows by their actions that they trust in the positive intentions of others.
Is gracious and professional in their interactions with others.
Contributes to a positive work environment.
Visibly supports and encourages diversity in style and background.
Treats all people fairly and with respect.
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
Assigns tasks based on skills of team members.
Ranks the importance of tasks to make sure critical tasks are completed first.
Ensures that assignments are prioritized according to the needs of the department/company.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Determines which tasks are critical and which tasks are optional.
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.
Organizes and schedules events, activities, and resources.
Establishes goals and objectives.
Effectively organizes resources and plans
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
Provides support and resources needed to accomplish goals.
Assigns tasks that are within the skill levels of employees.
Lets employees complete tasks according to their methods.
Is aware of the skill levels of others.
Recognizes the accomplishments of employees when they complete important assignments.
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.
Supports the efforts of other employees in implementing solutions to problems.
Consistently demonstrates ability and willingness to trust others.
Forms working relationships with employees from other departments.
Respects the opinions of other employees.
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.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Gets things done through the department.
Understands departmental policies and procedures.
Effective in communicating with others within the organization.
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
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
Understands global systems such as the global economy.
Aligns personal vision with global strategies.
Understands and appreciates the perspectives offered by others with different cultural backgrounds.
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.