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
Values the opinions of others.
Appreciates the extra efforts made by coworkers.
Demonstrates compassion and understanding of others.
Able to work with individuals at all levels of the Company.
Sees values in the diversity of individuals on the team.
Adapts management style to meet the needs of the individual or situation.
Responds quickly to inquiries from potential customers.
Successfully resolves conflicts and grievances to a win-win solution.
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
Links feedback to established goals, expectations, and organizational standards.
Gains commitment by persuasion.
Says "no" to goals that will detract from the organization's objectives.
Is totally committed to doing the best job possible.
Expects participation by all team members.
Rewards employees for innovation and calculated risk taking
Leverages credibility and expertise to influence decisions and outcomes.
Remains open to suggestions, ideas, and opinions of others.
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
Directs team in prioritizing daily work activities
Promptly and efficiently completes assigned tasks.
Stays focused on solving problems and getting work done.
Identifies the steps needed to accomplish the results.
Breaks down long-term goals into short-term milestones with clear timelines.
Models accountability by owning mistakes and demonstrating corrective action.
Addresses underperformance promptly and constructively, focusing on solutions.
Inspires others by consistently demonstrating belief in the team's potential.
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: