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
Steps away from a situation to process appropriate response.
Consciously controls own negative emotions in order to keep team morale up.
Uses patience and self-control in working with customers and associates.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
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
Maintains an efficient schedule of activities.
Responds to requests for information in a timely manner.
Arrives to meetings on time.
Starts the workday when scheduled.
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
Builds open and trusting relationships.
Visibly supports and encourages diversity in style and background.
Treats all people fairly and with respect.
Contributes to a positive and fun work environment.
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
Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
Spends the most time and effort on critical tasks first.
Is aware of the deadlines for specific tasks/assignments.
Plans and organizes continuously while performing all other responsibilities and activities.
Assigns tasks based on skills of team members.
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
Sets long-term and short-term goals.
Consistently provides me with timely feedback for improving my performance.
Organizes and schedules events, activities, and resources.
Works toward achieving established goals and objectives.
Able to organize work.
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
Demonstrates confidence in the abilities of subordinates.
Gives employees the freedom to set their own schedule.
Supports the decisions of others.
Allows the team to take responsibility for the project.
Values the opinions of others.
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
Works effectively with people from other departments.
...treats others with respect and dignity.
Helpful
Treats others with respect and dignity.
Able to see issues from others' perspectives.
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.
Able to deal with sensitive issues with tact and professionalism.
Able to explain departmental policies and procedures to others.
Understands departmental policies and procedures.
Adept at navigating within the culture of 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
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
Able to work with others from different cultures and countries.
Cooperates with others on a global scale.
Considers customers point of view when making decisions.
Builds working relationships with others across cultures.
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.