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
Consistently keeps commitments.
Builds and maintains the trust of others.
Takes ownership, delivers on commitments
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
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
Enjoys learning new skills and techniques.
Inspires others to learn new things.
Creates an environment that supports personal development and exploration.
Takes advantage of training opportunities when they arise.
Takes initiative for own learning and development.
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.
Is gracious and professional in their interactions with others.
Builds open and trusting relationships.
Works to eliminate unnecessary work or barriers that get in others' way.
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.
Able to understand others' points of view.
Is able to manage their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Accurately perceives the emotional reactions of others.
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 constructive improvements to existing systems.
Develops new products and services.
Encourages open communication to ensure that all proposals are considered.
Analyzes current procedures and identifies opportunities for improvement.
Finds creative ways to get things done with limited resources.
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
Driven to complete goals despite obstacles that may arise.
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Eliminates bureaucratic barriers to streamline processes.
Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.
Is determined to complete tasks regardless of obstacles that may occur.
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
Organizes and schedules events, activities, and resources.
Effectively organizes resources and plans
Able to organize work.
Sets long-term and short-term goals.
Encourages me to take on greater responsibility.
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.