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
Formulates strategies that reflect a shared vision for the organization.
Transforms the current vision into clear objectives and a strategic roadmap.
Devoted to carrying out the strategic vision.
Envisions and articulates a clear path for the department's growth over the next year.
Fosters a leadership vision that promotes innovation and growth.
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
Converses with customers and clients to get a better insight into their personal needs.
Attends industry conferences to gain further insight into how other companies deal with similar issues.
Meets with customers to gain insight into their core needs and how best to serve them.
Recognizes the needs of customers.
Develops a strategic vision for the future.
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 say "no" when it is essential to maintaining quality and high standards.
Combines the valid points from each source to form a comprehensive and balanced perspective.
Always has a "game plan" prior to entering into negotiations.
Does what it takes to ensure that the final agreement aligns with core interests.
Keeps emotions in check to avoid negative outbursts.
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
Successfully identifies the right person for a job when distributing tasks.
Effectively handles multiple complex issues simultaneously.
Takes the initiative and does not wait for the situation to change.
Adapts approach to overcome significant obstacles.
Determines the best person for a specific task within the team.
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
Pursues self-improvement through continual learning.
Pursues learning that will enhance job performance.
Pursues professional development opportunities when they arise.
Views setbacks as opportunities to learn from.
Sets relevant learning objectives and goals.
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
Maintains a high reputation within the department/organization.
Exhibits expertise in the matter and is able to convince others in the best course of action.
Changes the attitudes, behaviors, and beliefs of others.
Encourages employees to consider the merits of an unpopular change recently implemented.
Deeply understands the audience/team.
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
Determines the costs and potential benefits of decisions.
Uses reasonable assumptions and logic to decide between alternate courses of action
Encourages creative problem-solving by treating constraints as design challenges rather than obstacles.
Recognizes and generates innovative solutions.
Identifies parameters impacting the decision.
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
Understands and is committed to implementing new technologies.
Applies complex rules and regulations to maintain optimal system performance.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Proficient in the use of technical systems and processes.
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
Creates documents and reports as needed to maintain compliance with regulations.
Develops and implements a compliance data recordkeeping system.
Implements strategies to ensure compliance.
Keeps detailed records of compliance measures.
Creates and maintains necessary regulatory documentation.
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.