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
Is a person you can trust.
Takes care to maintain confidential information.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Works in a way that makes others want to work with her/him.
Delivers on promises made.
Consistently keeps commitments.
Builds and maintains the trust of others.
Is trustworthy; is someone I can trust.
Demonstrates congruence between statements and actions.
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
Recognizes when others do a good job.
Willing to overlook personal differences and focus on completing the task at hand.
Sees values in the diversity of individuals on the team.
Keeps commitments made with coworkers.
Maintains open and regular communication with others.
Demonstrates willingness to work with 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
Treats all people fairly and with respect.
Works to eliminate unnecessary work or barriers that get in others' way.
Is gracious and professional in their interactions with others.
Visibly supports and encourages diversity in style and background.
Shows by their actions that they trust in the positive intentions of others.
Builds open and trusting relationships.
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
Provides training to others on how to improve customer service.
Delivers high quality products to the customer.
Focuses on maintaining good relationships with customers.
Helps others in responding to customer needs.
Understands the needs of the customer.
Puts customer's needs first.
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
Maintains infrastructure to support partnerships and networks.
Aligns efforts, processes, and resources with partners to maximize strategic opportunities.
Engages in cross-functional activities by collaborating across boundaries.
Seeks to reduce institutional roadblocks to information sharing.
Forms strategic alliances with firms that specialize in areas that are complementary or help the company.
Engages with partners that offer complementary services and competencies.
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
Understands how their decisions will affect others.
Does not lose sight of the big picture when making decisions
Stays focused on the main objective when making decisions.
Applies creative reasoning in making decisions.
Acts confidently in the absence of guidance.
Asks for additional information when making critical decisions.
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
Highly motivated to achieve or exceed performance standards.
Inspires others to work with a sense of urgency.
Takes calculated risks.
Met required benchmarks for the position.
Improved the quality of work on the production line.
Establishes stretch goals to advance skills and output.
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.