Strategic Insight- 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 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Strategic Insight	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Implements long-term solutions to problems.
Formulates policies and strategies for addressing the Company's important challenges.
Identifies root causes of problems.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
If [Participant Name] were to make improvements in Strategic Insight, what are your suggestions for how he/she can improve this?
Partnering/Networking	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Seeks an understanding of diverse functions within the Company.
Creates value within the Company by building networks.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Partners with peers to obtain influence within the Company.
Supports a partnering/networking culture.
If [Participant Name] were to make improvements in Partnering/Networking, what are your suggestions for how he/she can improve this?
Flexibility	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Acts decisively in frequently changing and uncertain environment.
Adapts to circumstances as needed.
Open to the perspectives/viewpoints of others.
Is open to alternative ways to accomplish goals
Adapts to new organizational structures, policies, or procedures.
If [Participant Name] were to make improvements in Flexibility, what are your suggestions for how he/she can improve this?
Creativity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Creates a lot of new ideas.
Conceives, implements and evaluates ideas.
Develops solutions to challenging problems.
Is creative and inspirational.
Is creative.
If [Participant Name] were to make improvements in Creativity, what are your suggestions for how he/she can improve this?
Quality	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Always strives to produce the highest quality work products.
Encourages others to produce the highest quality work products.
Encourages employees to produce the best quality products.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Encourages others to achieve high quality standards.
If [Participant Name] were to make improvements in Quality, 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.
Able to organize work.
Ability to establish realistic goals.
Works toward achieving established goals and objectives.
Communicates goals and objectives to employees.
If [Participant Name] were to make improvements in Objectives, what are your suggestions for how he/she can improve this?
Interpersonal Skills	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Uses tact, compassion, and sensitivity in interactions with others.
Successfully resolves conflicts and grievances to a win-win solution.
Is open and approachable
Uses knowledge and charisma rather than position, power, or coercion to influence others
Adapts management style to meet the needs of the individual or situation.
If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?

36. Strengths
    
    
    
37. Areas for Development
    
    
    
38. Please give any final comments or suggestions for [Participant Name Here]'s assessment.