Vision- 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are 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 this manager'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.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

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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Vision	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Devoted to carrying out the strategic vision.
Shapes strategies that resonate with the department's shared vision.
Transforms the current vision into clear objectives and a strategic roadmap.
Cultivates an environment that embodies the department's vision.
Articulates a vision for the department that is aligned with the division/company's vision.
If [Participant Name] were to make improvements in Vision, what are your suggestions for how he/she can improve this?
Strategic Insight	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Develops a strategic vision for the future.
Creates values statement to ensure all employees are working under the same guiding principles.
Communicates with employees to find out their needs.
Adjusts strategic plans based on insights gathered from different points of view.
Analyzes unique issues or problems impacting the Company.
If [Participant Name] were to make improvements in Strategic Insight, what are your suggestions for how he/she can improve this?
Negotiation	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Engages in questioning to obtain necessary information and examine various alternatives.
Identifies tradeable interests that could facilitate reaching a consensus.
Able to adapt to changing situations.
Sets and maintains firm negotiating limits and boundaries.
Able to clearly express thoughts and concerns.
If [Participant Name] were to make improvements in Negotiation, what are your suggestions for how he/she can improve this?
Action	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Takes responsibility for actions.
Maintains a sense of urgency in daily work routines.
Seeks new opportunities for advancement.
Initiates actions to get things done.
Seeks out opportunities to contribute beyond assigned responsibilities.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?
Continual Learning	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Builds on their strengths while addressing their weaknesses.
Takes charge of their training and skills enhancement.
Seeks opportunities to grow in skills and knowledge.
Shares best practices with others and learns from others.
Grasps new ideas, concepts, technical, or business knowledge.
If [Participant Name] were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?
Persuasion and Influence	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Able to express own goals and needs.
Ensures stakeholders are involved in the decision making process.
Develops a good rapport with others.
Attempts to persuade others rather than simply control them.
Has excellent influencing/negotiating skills.
If [Participant Name] were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?
Decision Making	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Applies creative reasoning in making decisions.
Is aware of the impact of decisions and informs others about potential outcomes.
Decides which short- and long-term goals should be created.
Considers the ethical implications of decisions.
Does not lose sight of the big picture when making decisions
If [Participant Name] were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?
Technology Use/Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Adopts the implementation of new technology into the workplace.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Maximizes the use of new technology to deliver products and services.
Supports technical training and development of employees.
Uses technology in decision making and problem solving.
If [Participant Name] were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?
Regulatory/Compliance	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Develops compliance reports to share with stakeholders.
Creates and distributes code of ethics and code of conduct.
Develops regulatory compliance strategies.
Offers training to employees to ensure they comply with regulations.
Develops strategies to comply with established regulations.
If [Participant Name] were to make improvements in Regulatory/Compliance, 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.