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
Persuades others to follow the Company's vision.
Behaves in a way that is consistent with business values & code of conduct
Understands the vision of the Company and promotes it ahead of any self-interests.
Communicates a vision of where the Company needs to be in the future.
Clearly articulates a vision for his/her work and inspires others to support it
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
Formulates policies and strategies for addressing the Company's important challenges.
Identifies root causes of problems.
Maintains knowledge of current trends in the industry.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Implements long-term solutions to problems.
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
Changes communication styles to meet the listener's needs.
Stays calm and focuses on the core issues to be discussed.
Establishes good working relationships with others.
Able to adapt to changing situations.
Understands the expectations of other parties in the negotiation.
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
Gets the job done.
Is not afraid to take corrective action when necessary.
Motivates & supports others to gain skills
Effectively makes decisions
Does whatever it takes (within reason) to get the job done.
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
Is open to new ideas and concepts.
Takes the initiative to learn new skills.
Builds on their strengths while addressing their weaknesses.
Grasps new ideas, concepts, technical, or business knowledge.
Pursues professional development opportunities when they arise.
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
Seeks to obtain consensus or compromise.
Develops a good rapport with others.
Communicates effectively with others.
Has excellent influencing/negotiating skills.
Ensures stakeholders are involved in the decision making process.
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
Does not lose sight of the big picture when making decisions
Willing to change their strategy if new information arises.
Gathers information before making a decision.
Makes good decisions for the department.
Is able to make decisions quickly.
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
Uses technology in decision making and problem solving.
Proficient in the use of technical systems and processes.
Applies complex rules and regulations to maintain optimal system performance.
Supports technical training and development of employees.
Adopts the implementation of new technology into the workplace.
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
Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
Understands the applicable regulations and laws that impact our business.
Keeps track of changes in legislation affecting regulatory compliance.
Maintains compliance with federal, state, and local laws.
Complies with regulatory requirements for the state.
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.