360 Feedback Survey Example 1

Rater:

You are providing feedback to:

Instructions

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

In responding to the assessment form, please think about your experiences working with this individual during the last twelve months. Your responses will be merged with other's feedback and presented to the manager to guide them in their on-going development. Comments will be shared anonymously as written with the manager, unless you indicate otherwise.

Method of use: As part of the annual appraisal process, leaders receive feedback from peers, subordinates, customers and supervisors. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the individual's annual appraisal and development plan.

To what extent does ____________ exhibit the following ...

Communication Skills	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Implements performance appraisals focused on employee development using SMART criteria
Sets their on-line status to "available" to indicate they are available for communication.
Communicates clearly and get to the point without unnecessary details.
Clarifies problems logically, simplifying complex matters into digestible parts.
Is professional at all times--never ridiculing, mocking or undermining peers or subordinates.
Articulates ideas and emotions clearly to others.
Transforms complicated ideas into simple ones.
Comes across as comfortable and effective as a public speaker
Delivers effective public presentations.
If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?
Establishing Focus/Direction	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Stays focused even when under pressure and stress.
Makes sure that employees understand how their work relates to organizational goals.
Functions well under stress, deadlines, and/or significant workloads.
Aligns the department's goals with the goals of the organization.
Excellent at managing time.
Maintains self-control when personally criticized.
Makes sure that employees understand and identify with the team's mission.
Sets appropriate goals for employees.
Helps guide employees with prioritizing tasks.
If [Participant Name] were to make improvements in Establishing Focus/Direction, what are your suggestions for how he/she can improve this?
Supervisory Skills	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Uses the team to its fullest capacity.
Is clear when assigning tasks to be completed.
Resolves disputes in a way that quickly reaches mutual agreement.
Fosters a positive work environment in the department.
Allows employees to make their own decisions.
Provides clear expectations of outcomes during performance reviews.
Ensures employees know what they need to complete during the shift.
Seeks to enhance the performance of employees under their supervision.
Successfully mediates conflicts between employees.
If [Participant Name] were to make improvements in Supervisory Skills, what are your suggestions for how he/she can improve this?
Managing Risk	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Presents regular/monthly reports to the audit committee.
Attends risk management seminars and conferences.
Seeks to add value to the company by embracing risk.
Understands the possible financial risks of different events.
Uses risk management to make better strategic decisions.
Recognizes that small changes may snowball into major events.
Determines which are the serious threats.
Minimizes operational setbacks and delays.
Implements strategic risk management in an objective and tactical way.
If [Participant Name] were to make improvements in Managing Risk, what are your suggestions for how he/she can improve this?
Regulatory/Compliance	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Establishes clear communication channels and lines of communication for compliance related issues.
Responds promptly to inquiries from regulatory bodies.
Appoints a supervisory committee to ensure effective oversight of the organization.
Creates and distributes code of ethics and code of conduct.
Ensures regulations are followed as required.
Offers training to employees to ensure they are complying with regulations.
Implements regulatory changes in a timely manner.
Performs regular compliance audits.
Ensures operations meet government and industry requirements/standards.
If [Participant Name] were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?
Empowering Others	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Assigns tasks that allow employees to use their critical thinking skills.
Is confident in the abilities of employees assigned important tasks.
Recognizes the importance of a healthy work/life balance.
Gives employees the authority to act on their own.
Gives employees the resources they need to complete the job.
Allows employees the opportunity to take time off when needed.
Sets clear goals for others to accomplish.
Allows employees to take ownership of their work.
Trusts employees to complete tasks assigned.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?
Business Acumen	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Periodically assesses the current market environment.
Accurately perceives potential risks to the business.
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Facilitates creativity and innovation in individuals by helping them understand different aspects of the business.
Establishes key performance indicators (KPIs) to measure progress and success.
Creates a risk management strategy to meet the business needs of the organization.
Recognizes trends in underlying data.
Understands how strategic decisions impact constituents within the Company.
Considers impact of actions on other areas of the organization.
If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?
Organizational Fluency	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Able to explain departmental policies and procedures to others.
Understands the current organizational culture.
Adept at navigating within the culture of the department.
Able to use corporate politics to advance department objectives.
Anticipates problems that may affect the department.
Gets things done through the department.
Able to deal with sensitive issues with tact and professionalism.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Understands departmental policies and procedures.
If [Participant Name] were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?

73. Strengths
    
    
    
74. Areas for Development
    
    
    
75. Please give any final comments or suggestions for [Participant Name Here]'s assessment.