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
Helps the team bounce back from obstacles to progress.
Helps the team make good decisions even under conditions of uncertainty.
Takes the time to listen to the team's ideas.
Works with other team members to achieve objectives.
Expresses appreciation for the work of other team members.
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
Is resilient and proactive to help thrive in unpredictable environments.
Remains calm when dealing with multiple issues.
Accommodates adaptable scheduling.
Is flexible in responding to customer needs.
Creates personalized training schedules, offering various learning formats (like virtual and in-person sessions), and provides tailored training resources.
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
Able to step in and help co-workers when needed.
Is aware of changes to the policies and procedures.
Accommodates changes as needed.
Flexible and open to new ideas and encourages others to recognize the value of change.
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
Looks to others for input.
Shares past experiences with others as learning opportunities.
Is visible and approachable.
Open to the suggestions of others.
Accepts the views of others.
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
Seeks knowledge and information about other cultures.
Supports and mentors others that may have different cultural backgrounds.
Effective in working with individuals with a variety of cultural backgrounds.
Treats others with dignity and respect.
Functions effectively within various cultural contexts.
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
Offers instructions and guidance to subordinates.
Sets a good example for others to follow.
Provides direction and coaching to employees.
Holds employees accountable for work assignments.
Uses metrics and benchmarks established by the department.
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
Tackles the biggest problems at the start of the day.
Prioritizes major tasks over smaller ones.
Reacts promptly to inquiries from customers/clients.
Effectively delegates tasks to maximize the use of time.
Sets target due dates or times for tasks to be completed by.
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.
Is not afraid to question a potential safety issue observed in the workplace.
Works to implement corrective safety measures.
Is aware of OSHA safety guidelines.
Performs 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.