Teamwork - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

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	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Able to work closely other team members who are considered to be difficult to work with.
Coaches team members to work toward a common goal.
Fosters respect and understanding among team members
Gives constructive advice to other team members.
Makes sure each team member participates in the task.
Identifies and resolves conflicts within the team to increase team effectiveness
Makes decisions that support the team's goals and objectives.
Finds opportunities to recognize and reward team members.
Joins with other team members to brainstorm solutions to the problem.
If [Participant Name] were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?
Collaboration	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Cultivates a collaborative culture that drives innovation, productivity, and employee satisfaction.
Builds and strengthens relationships to improve collaboration and leadership.
Uses effective strategies to re-engage team members and secure their commitment to the business's common good.
Values others in decision making.
Addresses interpersonal issues with a collaborative mindset.
Committed to fostering a collaborative work environment in the department.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Conflict Management	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Seeks to remove misperceptions that may contribute toward conflict.
Acknowledges each party's intrinsic needs.
Encourages team members to express their ideas and concerns openly.
Encourages individuals to seek areas of common ground.
Able to settle disputes equitably.
Values the diverse perspectives of others.
If [Participant Name] were to make improvements in Conflict Management, what are your suggestions for how he/she can improve this?
Entrepreneurship	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Has a strategic awareness on how to promote the organization.
Takes the initiative to complete tasks.
Can work effectively in an environment of uncertainty.
Exhibits determination and passion in completion of goals.
Understands the processes and various stages of business development.
Able to adapt the department to changing business demands and climate.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?
Communication Skills	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Delivers well-prepared, informed, poised and succinct presentations.
Approachable, dependable, and ready to assist when needed.
Coaches others on their written communication skills
Effectively delivers presentations to teams, large groups, and diverse audiences
Maintains an open-door policy to be available for answers and guidance when needed.
Discusses ideas and concepts with peers.
If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?
Performance	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Shown significant improvement in job performance.
Able to organize work.
Works well in this position.
Sets a high standard for job performance.
Listens and responds to issues and problems
...Overall Performance
If [Participant Name] were to make improvements in Performance, what are your suggestions for how he/she can improve this?
Results Oriented	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Willing to take on new assignments to help increase production.
Determines the objectives for the project.
Overcomes obstacles to continue working toward goals.
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Determines the proper order for completion of the tasks.
Determines the parts of the project that need completed first.
If [Participant Name] were to make improvements in Results Oriented, what are your suggestions for how he/she can improve this?
Safety	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Identifies predictable hazards in the workplace.
Seeks to reduce the likelihood of accidents.
Develops a sustainable safety culture.
Encourages others to attend safety training.
Identifies and addresses safety needs.
Develops a culture of safety.
If [Participant Name] were to make improvements in Safety, what are your suggestions for how he/she can improve this?

52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.