Teamwork- 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 .

Teamwork	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Lets team members know when they have done well.
Expresses appreciation for the work of other team members.
Demonstrates compassion and respect for others through actions; is concerned about their work and non-work issues
Gives constructive advice to other team members.
Demonstrates an understanding of other team member's viewpoints.
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
Fosters a culture of flexibility and agility.
Embraces change and is willing to pivot strategies based on new information.
Able to adapt processes in response to critical incidents that impact the workflow.
Is open to alternative ways to accomplish goals
Able to work in multiple environments as needed.
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
Adjusts tactics when things are not working as expected.
Is aware of changes to the policies and procedures.
Adjusts tactics and strategies.
Able to adjust to changes as needed.
Able to quickly learn new ways of performing their job.
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
Seeks feedback to enhance performance.
Asks others for their ideas and opinions.
Accepts the views of others.
Is visible and approachable.
Is easy to approach with 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
Recognizes individual and cultural differences.
Is aware of cultural differences in business etiquette.
Willing to work with employees who have different cultural backgrounds.
Interacts effectively with people from different cultural backgrounds.
Engages with individuals that have different cultural backgrounds.
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
Values the opinions of subordinates.
Communicates effectively to avoid issues, conflicts and errors on the job.
Motivates and inspires high performance by team members.
Considers diverse perspectives during the disciplinary process.
Follows the company standard procedures for allocating assignments.
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
Allows for time buffers between tasks so that the schedule does not become delayed.
Makes time for developing plans and schedules.
Stays focused on the most important tasks that need completed.
Achieves more work within the limited time constraints.
Automates tedious or repetitive tasks.
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
Works to implement corrective safety measures.
Develops a culture of safety.
Develops a sustainable safety culture.
Seeks to reduce the likelihood of accidents.
Commits adequate resources toward safety measures.
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.