Trustworthy - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

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	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Is trustworthy; is someone I can trust.
Builds and maintains the trust of others.
Communicates an understanding of the other person's interests, needs and concerns.
Is a person you can trust.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Takes ownership, delivers on commitments
Demonstrates congruence between statements and actions.
Works in a way that makes others want to work with her/him.
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?
Interpersonal Skills	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Offers constructive criticism to have a positive impact on performance.
Promotes acceptance of diverse viewpoints from team members.
Offers praise to colleagues who have successfully completed major projects.
Demonstrates good communication with colleagues and customers.
Effectively manages conflicts by dealing with them directly and immediately
Honesty and integrity are core tenets of interpersonal relationships.
If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?
Attitude	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Works to eliminate unnecessary work or barriers that get in others' way.
Builds open and trusting relationships.
Contributes to a positive and fun work environment.
Is gracious and professional in their interactions with others.
Contributes to a positive work environment.
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?
Customer Focus	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Helps customers feel they are receiving services tailored specifically to their needs.
Consistently meets customer's needs.
Treats customers with courtesy and respect.
Maintains up-to-date information regarding customer products.
Exhibits a positive attitude even when dealing with difficult customers.
Ensures all customer commitments and requirements are met or exceeded.
If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?
Partnering/Networking	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Develops partnerships with senior leaders in the company.
Supports a partnering/networking culture.
Promotes a culture of open collaboration, offering ample opportunities and incentives for knowledge sharing and mutual learning.
Encourages employees to explore new partnership opportunities to expand market presence.
Willingly participates on committees and project teams.
Uses informal networks to share information.
If [Participant Name] were to make improvements in Partnering/Networking, what are your suggestions for how he/she can improve this?
Decision Making	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Is aware of the impact of decisions and informs others about potential outcomes.
Views the long and short-term impact of decisions.
Carefully evaluates information before making an important decision.
Seeks input from key people who should be involved in, or will be affected by, decisions
Exercises good judgment by making sound and informed decisions.
Makes good decisions for the department.
If [Participant Name] were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?
Achievement	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Driven to complete assignments on time.
Establishes stretch goals to advance skills and output.
Sets ambitious standards of performance.
Completed required training and certification.
Inspires others to work with a sense of urgency.
Demonstrates a sense of urgency to quickly and accurately solve problems and issues.
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?

46. Strengths
    
    
    
47. Areas for Development
    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.