360 degree feedback(360度评估).doc

Number: 360o FEEDBACK SURVEY Directions: The 360o Feedback Survey has 63 statements about on-the-job behaviors based on Core Leadership Competencies. Each statement is worded in a way that assumes the behavior is being performed in an effective manner. It generally takes about 30-40 minutes to complete this survey. If electronically responding, enter an x in the column that best describes your level of agreement with each statement. If manually responding, circle the number that best describes your level of agreement with each statement. In either case: Use N/A if not applicable to this person’s job or if you do not know this person well enough to answer a particular item. You will also be asked to identify this persons 3 most significant strengths and development needs. To ensure an appropriate response level and the anonymity of those completing the survey, a minimum of 3 participants from each of this persons direct report and peer group is required. Individual responses within each of these groups are consolidated and shown as a group average so no one persons responses are seen. Though still anonymous, comments on the open-ended questions can not be consolidated. Place an X by the statement that describes your relationship to: (the person being assessed). I report to him/her I supervise this person He/she is my peer I am rating myself Please send the completed survey to: .  VISION Agree Somewhat Agree No Strong Feeling Either Way Somewhat Disagree Disagree N/A Strategic Leadership: 1 Sets clear strategy and direction. 5 4 3 2 1 2 Creates sense of mission and collective purpose. 5 4 3 2 1 3 Establishes clear goals to implement strategy. 5 4 3 2 1 4 Helps others get clear picture of how things will be after a change i