Bias for 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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Bias for Action	Agree	Unsure	Disagree	N/A
Completes work on time
Encourages risk taking and experimentation to improve performance
Seeks and utilizes opportunities for continuous learning and self-development.
Completes a large volume of work.
Identifies ways to simplify work processes and reduce cycle times
Supervisory Skills	Agree	Unsure	Disagree	N/A
Is able to manage emotions during difficult times.
Emphasizes constructive discipline strategies, prioritizing the development and feedback of employees over punitive measures.
Determines appropriate staffing levels for the job.
Conveys instructions, directives and guidelines to the employees.
Is diligent about completing performance assessments on time.
Delegation	Agree	Unsure	Disagree	N/A
Allows subordinates to use their own methods and procedures.
Clearly defines duties and tasks to be completed.
Defines goals and objectives for subordinates.
Entrusts subordinates with important tasks.
Sets clear and reasonable expectations for others and follows through on their progress.
Quality	Agree	Unsure	Disagree	N/A
Creates a culture of quality standards in the workplace.
Able to identify quality issues critical to the organization.
Communicates quality standards clearly.
Maintains detailed instructions to ensure consistency and quality in the production line.
Identifies strategies and their associated risks to improve quality.
Change Management	Agree	Unsure	Disagree	N/A
Able to get department employees to accept new changes.
Adopts changes to set and example for others to follow.
Able to get team members to change their attitudes.
Works cooperatively with others to implement changes.
Inspires others to accept changes.
Managing Risk	Agree	Unsure	Disagree	N/A
Has the knowledge and skills to accurately identify risks in the workplace.
Recognizes the potential financial impact of specific risks.
Takes steps to contain the costs of responding to such events.
Creates a risk management strategy for the organization.
Takes steps to reduce the occurrence of the risk events.
Regulatory/Compliance	Agree	Unsure	Disagree	N/A
Reviews transactions for potential misconduct.
Maintains historical records and documents as needed/required.
Ensures regulations are followed as required.
Ensures the company is in compliance with industry specifications, standards, and applicable laws.
Follows all safety regulations and procedures.
Coaching	Agree	Unsure	Disagree	N/A
Provides clear, motivating, and constructive feedback.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Addresses employee behavior problems effectively.
Develops the skills and capabilities of others.
Helps employees to maintain high personal standards.
Strategic Insight	Agree	Unsure	Disagree	N/A
Works with others to develop insights into the resources and actions required to produce desired results.
Formulates policies and strategies for addressing the Company's important challenges.
Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
Inspires employees to adopt the strategic plan.
Pursues strategic alliances with valued partners.
Organizational Fluency	Agree	Unsure	Disagree	N/A
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Understands the current organizational culture.
Able to explain departmental policies and procedures to others.
Gets things done through the department.
Effective in communicating with others within the organization.

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

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

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.