Empowering Others- 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 .

Edit this Survey

Would you like to edit this survey? Click here to begin.

Empowering Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Gives responsibility for making important decisions to employees.
Fosters a sense of ownership and accountability for the process/product.
Helps employees advance their skills so that they can have more autonomy.
Assigns tasks that allow employees to use their critical thinking skills.
Encourages employees to expand their skills in order to take on greater responsibilities.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?
Creativity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Poses thought-provoking questions that spark new ideas.
Finds creative ways to meet the needs of stakeholders.
Invents novel approaches that challenge standard practices.
Ensures that creative ideas move beyond discussion into real-world application.
Creates an atmosphere where creative energy thrives.
If [Participant Name] were to make improvements in Creativity, what are your suggestions for how he/she can improve this?
Action	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Takes advantage of changes to the current situation.
Addresses safety issues immediately.
Completes challenging projects successfully despite setbacks.
Works quickly to get the job done.
Leverages skills and resources to exceed expectations on projects.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?
Commitment To Result	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Willing to do whatever it takes-not afraid to have to put in extra effort.
Encourages commitment in others to obtain results.
Coordinates all department activities into a cohesive team effort.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Maintains persistence and dedication to achieving results.
If [Participant Name] were to make improvements in Commitment To Result, what are your suggestions for how he/she can improve this?
Partnering/Networking	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Exchanges innovative ideas with others in the network.
Builds alliances between departments and teams.
Develops effective peer to peer working relationships.
Builds alliances with others in the company.
Provides or participates in joint ventures or co-development projects.
If [Participant Name] were to make improvements in Partnering/Networking, what are your suggestions for how he/she can improve this?
Vision	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Frames challenges and opportunities through the lens of the vision, inspiring confidence and urgency.
Develops action plans to align his/her work with the goals of the organization.
Adjusts tactics when needed without compromising the core vision.
Shapes strategies that resonate with the department's shared vision.
Supports a culture of the department that is willing to implement the company's vision.
If [Participant Name] were to make improvements in Vision, what are your suggestions for how he/she can improve this?

31. Strengths
    
    
    
32. Areas for Development
    
    
    
33. Please give any final comments or suggestions for [Participant Name Here]'s assessment.