Vision- 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 .

Vision	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Devoted to carrying out the strategic vision.
Is able to diagnose issues and problems and to create a vision for their solutions.
Skilled at identifying problems and envisioning effective solutions.
Develops a vision to inspire collective action.
Committed to undertaking the implementation of the strategic 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
Implements long-term solutions to problems.
Attends industry conferences to gain further insight into how other companies deal with similar issues.
Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
Observes employees at work to get better insight into the issues they are dealing with.
Works with others to develop insights into the resources and actions required to produce desired results.
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
Establishes a strong, cooperative atmosphere; defines expectations; and presents a well-structured agenda aligned with key priorities.
Understands the expectations of other parties in the negotiation.
Identifies goals and objectives desired as well as the strengths and weaknesses currently possessed.
Is resolute when stating priorities and non-negotiables.
Stays composed and counters aggressive negotiation tactics by reframing unreasonable proposals or actions.
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
Is not afraid to take corrective action when necessary.
Is ambitious when working on the project.
Makes decisions confidently and stands by them.
Rapidly adapts to changes in the situation.
Anticipates needs and takes pre-emptive action to address the issue.
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.
Shares best practices with others and learns from others.
Sets relevant learning objectives and goals.
Views setbacks as opportunities to learn from.
Takes the initiative to learn new skills.
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
Attempts to persuade others rather than simply control them.
Ensures stakeholders are involved in the decision making process.
Develops a good rapport with others.
Has excellent influencing/negotiating skills.
Communicates effectively with others.
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
Defines parameters that will impact the decision making process.
Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
Acts confidently in the absence of guidance.
Weighs the pros and cons of decisions.
Makes decisions independently (without having to be told what or how).
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
Supports technical training and development of employees.
Maximizes the use of new technology to deliver products and services.
Adopts the implementation of new technology into the workplace.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Understands and is committed to implementing new technologies.
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
Maintains historical records and documents as needed/required.
Develops compliance reports to share with stakeholders.
Reviews documentation and procedures manuals to ensure regulatory compliance.
Effectively manages a department of compliance officers.
Develops a confidential reporting system to enable employees to anonymously report safety violations.
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.