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 .

Edit this Survey

Would you like to edit this survey? Click here to begin.

Trustworthy	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Delivers on promises made.
Consistently keeps commitments.
Works in a way that makes others want to work with her/him.
Builds and maintains the trust of others.
Takes care to maintain confidential information.
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
Enhances value to the company through additional training and development.
Creates an environment that supports personal development and exploration.
Inspires others to learn new things.
Demonstrates through personal behavior the commitment to high standards of performance.
Enjoys learning new skills and techniques.
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
Visibly supports and encourages diversity in style and background.
Builds open and trusting relationships.
Treats all people fairly and with respect.
Is gracious and professional in their interactions with others.
Shows by their actions that they trust in the positive intentions of others.
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 able to control their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Accurately perceives the emotional reactions of others.
Is able to manage their own emotions.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
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
Generates innovative and practical ideas and approaches.
Creates innovative solutions to critical problems facing the Company.
Ensures the workforce maintains cutting-edge technical competencies to support continuous innovation and growth.
Fosters a culture of creativity and curiosity by actively listening to and considering new ideas and opportunities.
Fosters a culture of disruptive innovation to drive significant market shifts and create unparalleled value for customers.
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
Takes calculated risks.
Created impactful reports for the re-organization committee.
Follows-up and takes action when goals are not met to ensure better results in the future.
Completes work to given time frame and to budget
Completes work to a high technical standard
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.
Effectively organizes resources and plans
Works toward achieving established goals and objectives.
Able to organize work.
Ability to establish realistic goals.
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.