Communication - 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 .

Communication Skills	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Conveys ideas confidently and succinctly.
Deals with difficult situations calmly and confidently.
Presents issues, ideas, and strategy concisely and clearly.
Delivers influential presentations.
Delivers well-prepared, informed, poised and succinct presentations.
If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?
Establishing Focus/Direction	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Maintains self-control when personally criticized.
Makes sure that employees understand and identify with the team's mission.
Maintains focus when handling several problems or tasks simultaneously.
Sets appropriate goals for employees.
Functions well under stress, deadlines, and/or significant workloads.
If [Participant Name] were to make improvements in Establishing Focus/Direction, what are your suggestions for how he/she can improve this?
Supervisory Skills	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Provides constructive, ongoing feedback.
Delegates effectively.
Maintains good working relationships with employees.
Is aware of the unique strengths of each employee.
Treats all staff equitably.
If [Participant Name] were to make improvements in Supervisory Skills, what are your suggestions for how he/she can improve this?
Managing Risk	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Aware of appropriate actions to minimize risks.
Has the knowledge and skills to accurately identify risks in the workplace.
Is concerned about process safety management.
Develops policies to address risk situations in the workplace.
Is knowledgeable of standard risk management principles.
If [Participant Name] were to make improvements in Managing Risk, what are your suggestions for how he/she can improve this?
Regulatory/Compliance	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Offers training to employees to ensure they are complying with regulations.
Understands the applicable regulations and laws that impact our business.
Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
Keeps up-to-date with legislation affecting employees.
Keeps informed of various regulations and procedures.
If [Participant Name] were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?
Empowering Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Trusts employees to complete tasks assigned.
Expresses confidence in the abilities of others.
Willing to share in the decision making process.
Is aware of the skill levels of others.
Trusts employees are able to complete assigned tasks.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?
Business Acumen	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Asks the 'right' questions to size up or evaluate situations.
Considers impact of actions on other areas of the organization.
Understands complex issues and problems.
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?
Organizational Fluency	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Understands the current organizational culture.
Adept at navigating within the culture of the department.
Anticipates problems that may affect the department.
Able to use corporate politics to advance department objectives.
Effective in communicating with others within the organization.
If [Participant Name] were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?

41. Strengths
    
    
    
42. Areas for Development
    
    
    
43. Please give any final comments or suggestions for [Participant Name Here]'s assessment.