360 Degree Assessment Example 4

Rater: [Your Name]
You are providing feedback to: [Participant Name]

Instructions

You have been selected to provide feedback for the manager listed above. Your feedback is an important part of our company'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.

Please provide feedback using the form below. If you are not able to respond to an item, leave it blank and go on to the next item. When you have finished, press the SAVE or COMPLETED button at the bottom of the form.

Note: When you enter text comments into the boxes below, please focus your comments on work behaviors and styles. The comments that you type will be viewed by the individual receiving the feedback. Do not enter personal information about yourself unless you want this individual to know you are the author of these comments.

To what extent does exhibit the following ...

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Interpersonal Skills	Clear Strength	Capable and Effective Performance	Could benefit from Development	Needs Significant Improvement	N/A, cannot comment
Is a committed and reliable partner.
Shows appreciation for other's work.
Maintains open and regular communication with others.
Assists employees that need help.
Offers praise to colleagues who have successfully completed major projects.
Pays close attention to what is being communicated verbally and nonverbally.
Is thoughtful and honest about the feedback they give others.
Considers the other individual's point of view.
If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?
Leadership	Clear Strength	Capable and Effective Performance	Could benefit from Development	Needs Significant Improvement	N/A, cannot comment
Effectively leads others.
Is a highly effective supervisor.
Motivates others to reach and exceed organizational goals and objectives.
Sets a high level of performance expectations and challenges others to do the same.
Guides decision-making by coaching, counseling and rewarding.
Takes ownership and accountability for results
Sets specific, measurable, and challenging goals.
Able to align manpower, design work, an allocate tasks to achieve goals.
If [Participant Name] were to make improvements in Leadership, what are your suggestions for how he/she can improve this?
Results Oriented	Clear Strength	Capable and Effective Performance	Could benefit from Development	Needs Significant Improvement	N/A, cannot comment
Achieves long and short-term goals.
Provides clear expectations for employees.
Helps the team maintain focus on the goals.
Adapts to disruptions in the supply chain to maintain production levels.
Is a high achiever.
Identifies what needs to be accomplished.
Establishes benchmarks to be met when working on projects.
Does not become distracted by non-issues or interruptions.
If [Participant Name] were to make improvements in Results Oriented, what are your suggestions for how he/she can improve this?

Comments

In the spaces provided below, please type in any comments/feedback about ______ that you believe are relevant to his/her development.

Recognize that your comments will be listed along with the comments from all other sources and provided to this employee. Do not record any information that will identify you as the source, unless you want this employee to know that you are the source of the comment.

Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


Additional comments, if any: