Bias for Action - 360 Degree Feedback Survey Sample #13

Instructions

We are delighted to extend an invitation to you to provide valuable feedback on the manager listed above. Your insights and observations are a crucial element in our continuous efforts to enhance our leadership development program. This feedback tool has been meticulously designed to gather detailed and comprehensive input on the core competencies and role responsibilities that are integral to the ongoing success and growth of our organization.

We believe that your unique perspective, based on your interactions and experiences with this manager, will contribute significantly to identifying strengths, areas for improvement, and opportunities for professional growth. Your feedback will help us foster a culture of excellence, accountability, and continuous improvement within our leadership team.

As you complete the assessment form, please reflect on your interactions with this individual over the past six to twelve months. Your responses will be combined with feedback from others and presented to the manager to aid in their ongoing development. Rest assured, your comments will be shared anonymously, exactly as you write them.

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	Strongly Disagree	Disagree	Agree	Strongly Agree
Motivates others to achieve or exceed goals
Displays high energy and enthusiasm on consistent basis.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Completes a large volume of work.
Identifies ways to simplify work processes and reduce cycle times
Encourages risk taking and experimentation to improve performance
Seeks and utilizes opportunities for continuous learning and self-development.
Completes work on time
Adaptability	Strongly Disagree	Disagree	Agree	Strongly Agree
Adjusts plans to meet new situations.
Adjusts plans to meet the needs of new constraints.
Adapts to changes in team membership.
Is aware of changes to team personnel.
Is open to new ideas and innovations.
Emotional Intelligence	Strongly Disagree	Disagree	Agree	Strongly Agree
Is able to control their own emotions.
Is able to manage their own emotions.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Accurately perceives the emotional reactions of others.
Project Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Adds the necessary time buffers to avoid the project getting behind schedule.
Determines the project scope.
Makes sure all team members understand their roles.
Communicates with the necessary stakeholders if the budget targets are missed.
Creates a schedule for the different phases of the project.
Technical	Strongly Disagree	Disagree	Agree	Strongly Agree
Willingly shares his/her technical expertise; sought out as resource by others
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Seeks information from others as needed.
Demonstrates mastery of the technical competencies required in his/her work.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Collaboration	Strongly Disagree	Disagree	Agree	Strongly Agree
Encourages collaboration of fellow employees to achieve results.
Creates an environment that encourages information sharing.
Participates in the team's deliberations.
Uses group decision making.
Participates in collaborative/team decision-making.
Fiscal Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Monitors expenses and verifies the need for items purchased.
Monitors spending.
Develops budgets and plans for various programs and initiatives.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops of the department's annual budget.
Global Perspective	Strongly Disagree	Disagree	Agree	Strongly Agree
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
Cooperates with others on a global scale.
Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
Is aware of the culture, behaviors, identities and beliefs of others.
Able to listen and understand others and discuss issues in a respectful way.

45. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
46. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
47. Overall, please rate the effectiveness of [Participant Name Here].
    

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

    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.