Trustworthy - 360 Degree Feedback Survey Sample #7

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 and .

Trustworthy	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Demonstrates congruence between statements and actions.
Communicates an understanding of the other person's interests, needs and concerns.
Takes care to maintain confidential information.
Consistently keeps commitments.
Demonstrates a sense of responsibility and commitment to public trust.
If 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
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Is motivated by the desire to be "the best".
Critiques own performance and learns from experience as a source of continuous improvement.
Takes initiative for own learning and development.
Actively seeks to learn by asking questions and listening to all store associates.
If 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
Works to eliminate unnecessary work or barriers that get in others' way.
Visibly supports and encourages diversity in style and background.
Contributes to a positive and fun work environment.
Builds open and trusting relationships.
Shows by their actions that they trust in the positive intentions of others.
If 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 able to express themselves clearly.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to control their own emotions.
Is able to manage their own emotions.
Able to understand others' points of view.
If 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
Implements best practices within the department.
Challenges current procedures to develop other alternatives.
Analyzes current procedures and identifies opportunities for improvement.
Offers constructive improvements to existing systems.
Builds upon the ideas and solutions of others.
If 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
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Completes work to a high technical standard
Completes work to given time frame and to budget
Accepts setbacks and challenges as improvement opportunities
Demonstrates a well-organized and timely approach to achieve desired results
If 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.
Consistently provides me with timely feedback for improving my performance.
Establishes goals and objectives.
Effectively organizes resources and plans
Sets long-term and short-term goals.
If 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 's assessment.