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 .

Teamwork	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Works with other team members to identify bottle necks in the production process.
Establishes good rapport with team members.
Fosters respect and understanding among team members
Actively participates in the work of teams; seeks and listens to others' contributions
Actively and openly participates in team meetings.
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
Accommodates the needs of employees when requests for time off are made.
Is open to and values diverse perspectives.
Embraces change and is willing to pivot strategies based on new information.
Agile and versatile when dealing with issues.
Adapts to different learning styles of employees as required to make sure employees receive the highest level of training.
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
Can take on new assignments.
Will stop what they are doing to help colleagues in need.
Responds quickly to new information.
Is flexible when dealing with changes.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
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.
Seeks feedback to enhance performance.
Looks to others for input.
Asks others for their ideas and opinions.
Considers other's opinion and suggestions.
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
Understands the impact that our culture may have on interactions between individuals.
Helps other employees to become more culturally sensitive.
Encourages a work environment where individual differences are valued.
Seeks clarification to avoid misunderstandings.
Recognizes individual and cultural differences.
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
Empowers employees to perform the assigned tasks.
Provides clear expectations of outcomes during performance reviews.
Communicates the goals and expectations for the team.
Recognizes those who have exceeded expectations.
Delegates effectively.
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
Combines tasks to save time.
Understands the importance of being on time.
Tackles the biggest problems at the start of the day.
Tackles major tasks or problems first before addressing minor issues.
Is prompt and diligent in their work.
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
Encourages others to work safely.
Is not afraid to question a potential safety issue observed in the workplace.
Ensures compliance with safety regulations.
Identifies and addresses safety needs.
Committed to safety in the workplace.
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.