Feedback - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

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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Feedback	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Gathers input from team members, senior leaders, and external stakeholders to obtain varied perspectives and insights that guide decision-making and strategy.
Welcomes feedback as a catalyst for self-reflection and development.
Avoids generalizations by tailoring feedback to the individual's role, level, and goals.
Welcomes feedback from others about strengths and areas for improvement.
Applies practical strategies to resolve issues identified through feedback.
Fosters a culture of dialogue and performance insights at all levels which is essential for effective feedback in crucial interactions between employees and their managers.
Provides the necessary tools, training, and support to ensure that feedback is constructive, timely, and actionable.
Addresses specific issues and provides constructive advice, feedback, and helps individuals improve their performance.
Asks clarifying questions to ensure full understanding before responding.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?
Innovation	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Focuses the team on important innovations.
Not afraid to think outside the box when dealing with issues.
Looks for ways that the company can make profit that are different from how competitors operate.
Empowers employees to create innovative solutions to problems.
Investigates all types of innovations.
Guarantees that team members are equipped with the technical expertise needed to excel in innovative projects.
If [Participant Name] were to make improvements in Innovation, what are your suggestions for how he/she can improve this?
Change Management	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Incentivizes changes to have a greater impact.
Encourages managers to embrace the changes.
Implements planned structural and organizational changes to maintain a positive direction for the company/department.
Inspires others to adopt the necessary changes.
Recognizes employees who facilitate the organization making progress on the necessary changes.
Addresses personnel issues that may impede progress on implementing changes.
If [Participant Name] were to make improvements in Change Management, what are your suggestions for how he/she can improve this?
Adaptability	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Successfully handles the implementation of the reorganization.
Handles unexpected events without a loss of productivity.
Promotes a culture of adaptability and flexibility.
Adapts procedures to meet production goals.
Learns new ways to perform tasks; adopts new skill sets as required.
Adjusts communication style to meet the needs of the audience.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?
Collaboration	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Builds an environment of trust and respect to encourage risk-taking, innovation, and sharing of ideas.
Creates an environment where team members feel safe to express their ideas and concerns without fear of judgment.
Facilitates resolving differences to strengthen team unity.
Fosters a collaborative work environment where mutual inspiration leads to innovative problem-solving.
Involves others in reaching a consensus during group activities.
Is a trustworthy and credible partner.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Passion To Learn	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Stays up-to-date on emerging technologies.
Is open minded and curious about learning new skills.
Inspires others to learn new things.
Will participate in training classes even if offered outside of normal working hours.
Is open to feedback from others.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
If [Participant Name] were to make improvements in Passion To Learn, what are your suggestions for how he/she can improve this?
Coaching	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Helps employees to understand the responsibilities and expectations of their job.
Considers the ideas and suggestions from coaches.
Helps employees to maintain high personal standards.
Empowers employees to take ownership of their growth and decisions.
Creates a supportive environment where employees feel confident exploring new ideas and tackling challenges.
Coaches employees on a daily basis.
If [Participant Name] were to make improvements in Coaching, 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.