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
Creates opportunities and then takes advantage of them.
Assigns tasks to team members based on their strengths.
Leverages skills and resources to exceed expectations on projects.
Works across organizational lines and boundaries to attain goals.
Prevents small issues from becoming critical incidents.
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
Sets appropriate goals for employees.
Stays focused even when under pressure and stress.
Makes sure that employees understand and identify with the team's mission.
Maintains focus when handling several problems or tasks simultaneously.
Makes sure that employees understand how their work relates to organizational goals.
Decision Making	Agree	Unsure	Disagree	N/A
Effectively chooses appropriate courses of action.
Uses reasonable assumptions and logic to decide between alternate courses of action
Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
Determines the costs and potential benefits of decisions.
Learns from previous bad decisions and rarely repeats them.
Change Management	Agree	Unsure	Disagree	N/A
Addresses organizational and departmental resistance to changes.
Supports the Company's efforts to implement changes.
Supports new initiatives for organizational changes to improve effectiveness.
Develops a strategy for implementing changes.
Able to get team members to change their attitudes.
Managing Risk	Agree	Unsure	Disagree	N/A
Takes steps to minimize the impact/damage of the risk events.
Improves process safety where possible.
Determines the impact of specific risks on finances.
Ensures employees are aware of potential impacts by increasing risk visibility.
Develops appropriate strategies to minimize risks.
Regulatory/Compliance	Agree	Unsure	Disagree	N/A
Creates an oversight panel to provide comprehensive supervision for the organization.
Interacts with auditors and regulators on a professional basis.
Creates and distributes code of ethics and code of conduct.
Offers training to employees to ensure they are complying with regulations.
Identifies and assesses areas of regulatory or compliance risk.
Empowering Others	Agree	Unsure	Disagree	N/A
Allows the employees to have flexible work schedules.
Encourages employees to think outside the box.
Encourages employees to solve problems on their own.
Recognizes and rewards employees who make important decisions and take action when necessary.
Encourages employees to take on greater responsibilities.
Strategic Focus	Agree	Unsure	Disagree	N/A
Pursues strategic alliances with valued partners.
Makes decisions that yield more competitive advantages.
Creates values statement to ensure all employees are working under the same guiding principles.
Develops an organizational strategy for each functional area within the mission statement.
Develops strategies to seek new opportunities.
Organizational Fluency	Agree	Unsure	Disagree	N/A
Effective in communicating with others within the organization.
Gets things done through the department.
Anticipates problems that may affect the department.
Able to use corporate politics to advance department objectives.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.

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.