Trustworthy - 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 .

Trustworthy	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Takes care to maintain confidential information.
Delivers on promises made.
Works in a way that makes others want to work with her/him.
Communicates an understanding of the other person's interests, needs and concerns.
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.
Is open minded and curious about learning new skills.
Constantly enhances product knowledge through experimentation and play.
Stays up-to-date on emerging technologies.
Embraces new technology and procedures.
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
Shows by their actions that they trust in the positive intentions of others.
Works to eliminate unnecessary work or barriers that get in others' way.
Contributes to a positive and fun work environment.
Visibly supports and encourages diversity in style and background.
Treats all people fairly and with respect.
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
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to express themselves clearly.
Is able to manage their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
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
Develops new products and services.
Implements best practices within the department.
Solves problems with insight and understanding.
Builds upon the ideas and solutions of others.
Fosters a creative and innovative work environment.
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
Successfully completed the orientation training program.
Establishes stretch goals to advance skills and output.
Set high standards in their performance
Sets performance metrics to measure achievement or attainment of goals.
Created impactful reports for the re-organization committee.
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
Assures [Company] principles are understood, employed & pursued.
Ability to establish realistic goals.
Effectively organizes resources and plans
Sets long-term and short-term goals.
Consistently provides me with timely feedback for improving my performance.
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.