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.



Please complete your response by .

Action	Agree	Unsure	Disagree	N/A
Looks for extra ways to help the department achieve performance goals.
Is not afraid to take corrective action when necessary.
Is the first to volunteer for assignments.
Fixes small issues before they become critical incidents.
Starts immediately working on assignments.
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
Makes sure that employees understand how their work relates to organizational goals.
Functions well under stress, deadlines, and/or significant workloads.
Sets appropriate goals for employees.
Helps guide employees with prioritizing tasks.
Stays focused even when under pressure and stress.
Decision Making	Agree	Unsure	Disagree	N/A
Is aware of the impact of decisions and informs others about potential outcomes.
Understands what factors are important for deciding if a decision is "worth it"?
Asks for additional information when making critical decisions.
Performs a cost/benefit analysis before making a decision.
Learns from previous bad decisions and rarely repeats them.
Change Management	Agree	Unsure	Disagree	N/A
Works cooperatively with others to implement changes.
Inspires others to accept changes.
Effective in implementing new organizational vision and values.
Supports the Company's efforts to implement changes.
Able to get department employees to accept new changes.
Managing Risk	Agree	Unsure	Disagree	N/A
Knows how to obtain desired results with minimal losses.
Tracks and monitors incidents that may increase the risk of adverse consequences.
Determines the risk tolerance of the company.
Uses risk management to be more effective in identifying and implementing projects.
Seeks to maintain the long-term viability of the Company through effective risk management.
Regulatory/Compliance	Agree	Unsure	Disagree	N/A
Develops a confidential reporting system to enable employees to anonymously report safety violations.
Keeps up-to-date with legislation affecting employees.
Implements internal control processes to detect misconduct or patterns of illegal transactions.
Ensures the company is in compliance with industry specifications, standards, and applicable laws.
Coordinates the execution of compliance strategies across departments.
Empowering Others	Agree	Unsure	Disagree	N/A
Gives employees autonomy to complete tasks on their own.
Is confident in the abilities of employees assigned important tasks.
Provides opportunities for employee development and growth.
Gives employees the resources they need to complete the job.
Includes others in the decision making process.
Strategic Focus	Agree	Unsure	Disagree	N/A
Develops a strategic plan to focus on strategic issues.
Makes sure the objectives are clearly communicated and understood.
Creates a SWOT matrix to help analyze data.
Makes quick and creative decisions to adjust the strategy to meet the demands of changing situations.
Looks for opportunities to enhance contributions to the bottom line.
Organizational Fluency	Agree	Unsure	Disagree	N/A
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Gets things done through the department.
Able to deal with sensitive issues with tact and professionalism.
Effective in communicating with others within the organization.
Adept at navigating within the culture of 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.