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
Analyzes unique issues or problems impacting the Company.
Formulates policies and strategies for addressing the Company's important challenges.
Identifies potential problems before they become critical incidents.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Maintains knowledge of current trends in the industry.
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
Supports and encourages relationships that are created by diverse team members.
Seeks an understanding of diverse functions within the Company.
Partners with peers to obtain influence within the Company.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Promotes the understanding of how the department affects the organization overall.
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.
Identifies new opportunities to achieve goals
Is open to alternative ways to accomplish goals
Open to the perspectives/viewpoints of others.
Able to adapt to new situations.
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
Adds value to the department/organization.
Inspires creativity in their team.
Creates a lot of new ideas.
Is creative and inspirational.
Conceives, implements and evaluates ideas.
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
Encourages others to achieve high quality standards.
Holds employees accountable for their quality of work.
Always strives to produce the highest quality work products.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Reflects on what is working and what could be improved.
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
Consistently provides me with timely feedback for improving my performance.
Able to organize work.
Sets long-term and short-term goals.
Communicates goals and objectives to employees.
Ability to establish realistic goals.
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.
Values the opinions of others.
Uses knowledge and charisma rather than position, power, or coercion to influence others
Effectively manages conflicts by dealing with them directly and immediately
Is a role model for others
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.