Technical Skills - 360 Degree Feedback Survey Sample #1

Instructions:

The is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses, and will be not making any changes, click the Complete button.

Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Technical	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Willingly shares information and expertise; sought out as resource by others
Is knowledgeable of procedures or systems necessary for the job.
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Knows how to produce high quality products/work.
If were to make improvements in Technical, what are your suggestions for how he/she can improve this?
Excellence	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Demonstrates the functional or technical skills necessary to do their job.
Takes a lot of pride in their work.
Keeps themselves and others focused on constant improvement.
Demonstrates the analytical skills to do their job.
Can be counted on to add value wherever they are involved.
If were to make improvements in Excellence, what are your suggestions for how he/she can improve this?
Adaptability	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Flexible and open to new ideas and encourages others to value change.
Develops insights and applies innovative solutions to projects and problems.
Learns from personal experiences and/or mistakes.
Is flexible and open minded in dealing with others.
Is proactive and takes steps to prepare for changes in the workplace.
If were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?
Leadership	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Able to influence others.
Effectively leads others.
Takes ownership and accountability for results
Demonstrates leadership and courage in critical situations.
Gives direct, constructive, and actionable feedback.
If were to make improvements in Leadership, what are your suggestions for how he/she can improve this?
Persuasion and Influence	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Communicates effectively with others.
Has excellent influencing/negotiating skills.
Attempts to persuade others rather than simply control them.
Understanding what others need.
Persuades others to consider alternative points of view.
If were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?
Decision Making	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Asks for additional information when making critical decisions.
Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
Seeks input from key people who should be involved in, or will be affected by, decisions
Exercises good judgment by making sound and informed decisions.
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
If were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?
Juggling Multiple Responsibilities	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Can multi-task while performing all of their other responsibilities and activities.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
If were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?
Achievement	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Set high standards in their performance
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Completes work to given time frame and to budget
Completes work to a high technical standard
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
If were to make improvements in Achievement, what are your suggestions for how he/she can improve this?
Trustworthy	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Is a person you can trust.
Works in a way that makes others want to work with her/him.
Demonstrates a sense of responsibility and commitment to public trust.
Delivers on promises made.
Consistently keeps commitments.
If were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?
Recognition	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Recognizes team members who offer a significant contribution to a project.
Reinforces and rewards employees for accomplishing necessary goals.
Lets employees know when they have done well
Finds opportunities to recognize others.
Offers recognition in a timely manner.
If were to make improvements in Recognition, what are your suggestions for how he/she can improve this?
Fiscal Management	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Provides budgeting and accounting support to the Company.
Effective in using Company's resources.
Develops budgets and plans for various programs and initiatives.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Keeps excellent records for financial transparency.
If were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?

56. What are 's greatest strengths demonstrated this year?
    
    
    
57. What are 's areas for development?
    
    
    
58. Please give any final comments or suggestions for 's assessment.