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
Committed to the successful completion of team goals.
Recognizes and respects the contributions and needs of each individual.
Shows respect for other team members.
Shares resources and information with the team.
Willingly share their technical expertise
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
Able to adapt and tailor approaches based on the unique requirements of each scenario.
Able to change or adjust processes to accommodate changes in equipment or supplies.
Expands productive capacity as demand for services increases.
Incorporates new skills fluently.
Responds to the various needs of other colleagues and departments.
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
Learns new skills to address important issues facing the department/company.
Develops insights and applies innovative solutions to projects and problems.
Learns new skills to become competitive and contribute to the bottom line.
Adapts to work successfully in a wide variety of situations and with a variety of coworkers.
Adjusts plans to meet the needs of new constraints.
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
Selects an appropriate set of individuals (peers, subordinates, customers) to provide feedback through a 360-Feedback system.
Engages with team members, senior leaders, and external stakeholders to gather a variety of perspectives and insights that inform strategy and decision-making.
Provides feedback to others that includes both their strengths and weaknesses.
Clarifies what is expected in terms of performance and behavior.
Utilizes feedback in a manner that prioritizes professional development and avoids any misuse.
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.
Responds thoughtfully to culturally influenced communication styles and preferences.
Encourages respectful dialogue around cultural differences and similarities.
Promotes continuous learning about customs, traditions, and workplace etiquette.
Encourages a work environment where individual differences are valued.
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
Assigns tasks appropriately.
Resolves disputes in a way that quickly reaches mutual agreement.
Sets the objectives to be completed for the shift.
Demonstrates empathy, respect, and openness to employees.
Determines which team members are to be promoted to the next higher level.
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.
Stays on track by effectively using the project schedule.
Effectively delegates tasks to maximize the use of time.
Usually works with a sense of urgency.
Proactively addresses crucial matters.
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 our company's safety programs.
Seeks to reduce the likelihood of accidents.
Commits adequate resources toward safety measures.
Is not afraid to question a potential safety issue observed in the workplace.
Encourages others to attend safety training.
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.