Trustworthy - 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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Trustworthy	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is a person you can trust.
Demonstrates congruence between statements and actions.
Builds and maintains the trust of others.
Is trustworthy; is someone I can trust.
Demonstrates a sense of responsibility and commitment to public trust.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?
Passion To Learn	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Takes advantage of training opportunities when they arise.
Takes initiative for own learning and development.
Inspires others to learn new things.
Holds self and associates accountable for goal achievement.
Is committed to enhancing their own knowledge and skills.
If [Participant Name] were to make improvements in Passion To Learn, what are your suggestions for how he/she can improve this?
Attitude	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Contributes to a positive work environment.
Exhibits a professional and gracious demeanor.
Encourages the team to experiment and learn, reinforcing that setbacks are a natural part of progress.
Able to cope with changes.
Maintains consistency in effort--even when outcomes are uncertain or recognition is delayed.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?
Emotional Intelligence	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to control their own emotions.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to manage their own emotions.
Able to understand others' points of view.
If [Participant Name] were to make improvements in Emotional Intelligence, what are your suggestions for how he/she can improve this?
Innovation	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Offers continuous learning opportunities to enhance technical skills and innovative thinking.
Determines how much risk the company is willing to take in implementing innovations to the products and services.
Solves problems with insight and understanding.
Cultivates a culture of open communication where all ideas, no matter how unconventional, are welcomed and valued.
Embraces innovation as a way to improve how we do things.
If [Participant Name] were to make improvements in Innovation, what are your suggestions for how he/she can improve this?
Achievement	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Responds to evolving demands by adjusting priorities ensuring continued progress.
Driven to complete assignments on time.
Moves decisively in high-risk situations to secure long-term achievements.
Has an intense drive to exceed expectations.
Sets challenging goals for the department.
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?
Objectives	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Communicates goals and objectives to employees.
Works toward achieving established goals and objectives.
Able to organize work.
Ability to establish realistic goals.
Establishes goals and objectives.
If [Participant Name] were to make improvements in Objectives, what are your suggestions for how he/she can improve this?

36. Strengths
    
    
    
37. Areas for Development
    
    
    
38. Please give any final comments or suggestions for [Participant Name Here]'s assessment.