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
Demonstrates congruence between statements and actions.
Works in a way that makes others want to work with her/him.
Delivers on promises made.
Consistently keeps commitments.
Is trustworthy; is someone I can 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
Exhibits willingness to upgrade skills through additional training and education.
Enhances value to the company through additional training and development.
Is open to feedback from others.
Takes initiative for own learning and development.
Inspires others to learn new things.
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 and fun work environment.
Shows by their actions that they trust in the positive intentions of others.
Contributes to a positive work environment.
Treats all people fairly and with respect.
Works to eliminate unnecessary work or barriers that get in others' way.
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
Accurately perceives the emotional reactions of others.
Is attentive to emotional cues and interprets others' feelings correctly.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to control their own emotions.
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
Implements best practices within the department.
Creates a safe environment for idea-sharing.
Encourages open communication to ensure that all proposals are considered.
Develops new products and services.
Analyzes current procedures and identifies opportunities for improvement.
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 to achieve higher levels of performance.
Demonstrates a well-organized and timely approach to achieve desired results
Holds others to high standards of achievement.
Accepts setbacks and challenges as improvement opportunities
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
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
Effectively organizes resources and plans
Ability to establish realistic goals.
Establishes goals and objectives.
Organizes and schedules events, activities, and resources.
Able to organize work.
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.