Action - 360 Degree Feedback Survey Sample #8

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 six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Method of use: As part of the review process, managers will receive feedback from peers and staff. 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 manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.



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Action	Agree	Unsure	Disagree	N/A
Takes on additional responsibilities outside of the job description to help the team succeed.
Pursues goals with action to achieve success.
Takes action when necessary.
Gladly accepts new challenges and works on them with urgency.
Effectively handles multiple complex issues simultaneously.
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
Allocates time, personnel, and tools based on task complexity and team capacity.
Ensures access to subject matter experts or mentors for specialized guidance.
Regularly reinforces the connection between daily tasks and broader organizational outcomes.
Sets production assignments for the department.
Responds constructively to setbacks by exploring alternative paths to goal completion.
Decision Making	Agree	Unsure	Disagree	N/A
Uses reasonable assumptions and logic to decide between alternate courses of action
Determines the costs and potential benefits of decisions.
Leverages internal metrics and external standards to validate cost/benefit assumptions and guide choices.
Systematically gathers, analyzes, and interprets information from a variety of sources
Understands when gut instinct is helpful and when it needs to be supplemented with evidence.
Change Management	Agree	Unsure	Disagree	N/A
Helps employees come to accept changes.
Ensures employees are aware of how the changes will benefit the organization.
Creates a sense of urgency around the need for changes.
Involves senior employees in implementation of the changes.
Helps the department work through periods of chaos that may be experienced during significant changes.
Managing Risk	Agree	Unsure	Disagree	N/A
Ensures all components of risk management are in place.
Uses risk management to remain in compliance with regulations.
Presents regular/monthly reports to the audit committee.
Improves process safety where possible.
Integrates risk management into strategic decision making.
Regulatory/Compliance	Agree	Unsure	Disagree	N/A
Ensures the company is in compliance with industry specifications, standards, and applicable laws.
Creates an oversight panel to provide comprehensive supervision for the organization.
Develops strategies to comply with established regulations.
Responds accurately and completely to questions from regulators.
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Empowering Others	Agree	Unsure	Disagree	N/A
Listens to the ideas employees have for solving issues.
Views others in the department as valued assets to be trained and employed.
Permits employees to take training to become more independent.
Gives responsibility for making important decisions to employees.
Considers ideas from employees that may challenge traditional ways of doing the job.
Strategic Focus	Agree	Unsure	Disagree	N/A
Determines the best strategy for achieving elevated levels of performance.
Makes strategic changes to stay ahead of changes in the business environment.
Understands & contributes to development of strategic goals.
Makes sure that all departments/teams are contributing toward the success of the strategy.
Maintains a strategic focus on external factors impacting the success of the company.
Organizational Fluency	Agree	Unsure	Disagree	N/A
Adept at navigating within the culture of the department.
Able to use corporate politics to advance department objectives.
Gets things done through the department.
Able to explain departmental policies and procedures to others.
Anticipates problems that may affect the department.

46. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
47. Strengths
    
    
    
48. Areas for Development
    
    
    
49. Please give any final comments or suggestions for [Participant Name Here]'s assessment.