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 .

Vision	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Articulates a vision for the department that is aligned with the division/company's vision.
Converts the department's vision into specific goals and a strategic plan.
Inspires employees to support the departmental vision.
Devoted to carrying out the strategic vision.
Brings the strategic vision to fruition by planning, coordinating, and executing necessary actions, while ensuring the team meets the overarching goals of the organization.
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
Recognizes the needs of customers.
Creates a mission statement describing the purpose for the organization.
Works with others to develop insights into the resources and actions required to produce desired results.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Observes employees at work to get better insight into the issues they are dealing with.
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
Able to clearly express thoughts and concerns.
Conducts necessary preparations before engaging in negotiations.
Influences others through rational argument and persuasion.
Is resolute in positions to build trust and predictability.
Is flexible in responses.
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
Starts immediately working on assignments.
Motivates & supports others to gain skills
Anticipates needs and takes pre-emptive action to address the issue.
Sets high standards for themselves and others.
Takes responsibility for meeting performance standards.
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.
Participates in regular training offered.
Pursues self-improvement through continual learning.
Seeks opportunities to grow in skills and knowledge.
Pursues learning that will enhance job performance.
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.
Has excellent influencing/negotiating skills.
Communicates effectively with others.
Persuades others to consider alternative points of view.
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
Receptive to new ideas from others when making decisions.
Is able to learn from mistakes.
Understands what factors are important for deciding if a decision is "worth it"?
Makes decisions independently (without having to be told what or how).
Effectively chooses appropriate courses of action.
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.
Applies complex rules and regulations to maintain optimal system performance.
Proficient in the use of technical systems and processes.
Supports employee training and development initiatives regarding implementation of technology.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
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
Creates documents and reports as needed to maintain compliance with regulations.
Responds promptly to inquiries from regulatory bodies.
Ensures operations meet government and industry requirements/standards.
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Keeps detailed records of compliance measures.
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.