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

Please ensure that your submission is made between .

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Teamwork	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Builds relationships across boundaries and with key stakeholders by developing informal and formal networks.
Identifies and resolves conflicts within the team to increase team effectiveness
Creates a culture that fosters and values collaboration.
Fosters respect and understanding among team members
Communicates a clear message that teamwork and collaboration are expected.
If [Participant Name] were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?
Flexibility	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Regularly assesses current methods, welcomes feedback, and is willing to implement changes to improve efficiency and effectiveness.
Is flexible in delivering training content to maximizes the benefits of training but also fosters an inclusive learning environment that can lead to greater team cohesion and productivity.
Recognizes and quickly adapts to shifts in the environment, market, or industry.
Is resilient and proactive to help thrive in unpredictable environments.
Fosters a culture of agility, ensuring that the team can thrive amidst constant change and uncertainty.
If [Participant Name] were to make improvements in Flexibility, what are your suggestions for how he/she can improve this?
Adaptability	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Accommodates changes as needed.
Adjusts to new plans and procedures.
Is open to new ideas and innovations.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Adapts quickly to new situations.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?
Feedback	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is easy to approach with ideas and opinions.
Shares past experiences with others as learning opportunities.
Actively seeks feedback from others.
Seeks feedback to enhance performance.
Asks others for their ideas and opinions.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?
Cultural Awareness	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Treats others with dignity and respect.
Is responsive to individuals from other cultures.
Seeks knowledge and information about other cultures.
Seeks clarification to avoid misunderstandings.
Communicates with others without the influence of racism.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?
Supervisory Skills	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is sought after for advice in a variety of situations.
Is a calming force during stressful periods.
Determines which team members are to be promoted to the next higher level.
Shows consistency between what they say and do.
Maintains disciplinary policy and fair enforcement of work rules
If [Participant Name] were to make improvements in Supervisory Skills, what are your suggestions for how he/she can improve this?
Time Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Uses scripts or software tools to automate computer centered processes.
Automates tedious or repetitive tasks.
Stays undistracted by personal devices while on the clock.
Is concerned about adhering to the schedule.
Gives undivided attention to tasks currently being worked on.
If [Participant Name] were to make improvements in Time Management, what are your suggestions for how he/she can improve this?
Safety	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Supports safety programs and procedures.
Commits adequate resources toward safety measures.
Keeps accurate safety records.
Participates in safety training as applicable.
Encourages others to work safely.
If [Participant Name] were to make improvements in Safety, what are your suggestions for how he/she can improve this?

41. Strengths
    
    
    
42. Areas for Development
    
    
    
43. Please give any final comments or suggestions for [Participant Name Here]'s assessment.