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 .

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Trustworthy	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Demonstrates a sense of responsibility and commitment to public trust.
Communicates an understanding of the other person's interests, needs and concerns.
Builds and maintains the trust of others.
Delivers on promises made.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Takes ownership, delivers on commitments
Demonstrates congruence between statements and actions.
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?
Interpersonal Skills	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Appreciates the extra efforts made by coworkers.
Adapts management style to meet the needs of the individual or situation.
Considers the other individual's point of view.
Strives for win/win solutions
Uses knowledge and charisma rather than position, power, or coercion to influence others
Is thoughtful and honest about the feedback they give others.
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
Compliments employees when they do a good job.
Expresses genuine belief in the team's ability to overcome challenges and thrive.
Uses setbacks or errors as learning moments, showing pride through persistence and growth.
Enjoys working for [Company]
Respects boundaries and personal differences, allowing others to be authentic.
Approachable and easy to talk to.
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
Shows new team members what a positive customer service attitude looks like.
Provides a high level of service to customers.
Prepares contingency plans for potential service disruptions that could impact customer satisfaction.
Is aware of the customer's needs.
Focuses on maintaining good relationships with customers.
Is above average in addressing the needs of the customers.
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
Creates a shared knowledge base or resource center accessible to all partners.
Encourages employees to explore new partnership opportunities to expand market presence.
Maintains infrastructure to support partnerships and networks.
Forms alliances with complementary organizations to promote business operations.
Leverages core competencies of partners to the benefit of both parties.
Supports a partnering/networking culture.
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 creative about the decisions they make.
Remains focused on the immediate goal when making decisions.
Integrates multiple dimensions (budget, capacity, morale) into a holistic evaluation of the costs and benefits.
Weighs the pros and cons of decisions.
Takes into account the impact decisions will have on others.
Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
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
Reduces staff turnover.
Completed required training and certification.
Establishes stretch goals to advance skills and output.
Takes calculated risks to achieve higher levels of performance.
Improved the quality of work on the production line.
Successfully launched the ABC project.
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.