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
Takes responsibility for meeting performance standards.
Regularly conducts preventative maintenance on the equipment.
Takes advantage of opportunities to move the organization forward.
Changes course to meet the needs of a new situation.
Takes corrective action when necessary.
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
Maintains self-control when personally criticized.
Maintains focus when handling several problems or tasks simultaneously.
Stays focused even when under pressure and stress.
Aligns the department's goals with the goals of the organization.
Helps guide employees with prioritizing tasks.
Decision Making	Agree	Unsure	Disagree	N/A
Open to the suggestions from subordinates.
Regularly evaluates information before making important decisions.
Has a good rapport other people which is helpful in making decisions on the team.
Applies creative reasoning in making decisions.
Determines constraints that may impact what decisions are acceptable.
Change Management	Agree	Unsure	Disagree	N/A
Effective in implementing new organizational vision and values.
Inspires others to want to change.
Develops plans for following through on the changes.
Supports new initiatives for organizational changes to improve effectiveness.
Inspires others to accept changes.
Managing Risk	Agree	Unsure	Disagree	N/A
Creates informative guides regarding potential risks and risky behaviors.
Maintains open communication with other departments.
Integrates risk management into strategic decision making.
Uses risk management to be more effective in identifying and implementing projects.
Uses risk management to make better strategic decisions.
Regulatory/Compliance	Agree	Unsure	Disagree	N/A
Develops compliance reports to share with stakeholders.
Ensures appropriate followup for regulatory violations.
Coordinates the execution of compliance strategies across departments.
Coordinates the work of other Business Managers to ensure all are in compliance with established standards and guidelines.
Coordinates with legal counsel in conducting audits of legal compliance.
Empowering Others	Agree	Unsure	Disagree	N/A
Lets employees make their own decisions.
Listens to the ideas employees have for solving issues.
Lets employees complete tasks according to their methods.
Creates opportunities for employees to exercise their independence.
Is confident in the abilities of employees assigned important tasks.
Strategic Focus	Agree	Unsure	Disagree	N/A
Identifies business strategies to strengthen competitive capabilities.
Makes plans to handle unforeseen events that could impact the achievement of strategic goals.
Lets employees know how their roles contribute toward the achievement of strategic company objectives.
Maintains a strategic focus on external factors impacting the success of the company.
Identifies strengths that competitors would have trouble imitating.
Organizational Fluency	Agree	Unsure	Disagree	N/A
Understands the current organizational culture.
Able to use corporate politics to advance department objectives.
Gets things done through the department.
Adept at navigating within the culture of the department.
Able to explain departmental policies and procedures to others.

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.