Communication - 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 .

Communication Skills	Agree	Unsure	Disagree	N/A
Informs supervisor about progress made on goals and objectives.
Summarizes the question to verify comprehension.
Sets their on-line status to "available" to indicate they are available for communication.
Provides straightforward and brief directions.
Confidently communicates across all organizational levels, including external stakeholders.
Self Management	Agree	Unsure	Disagree	N/A
Does not allow own emotions to interfere with the performance of others.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Uses patience and self-control in working with customers and associates.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Steps away from a situation to process appropriate response.
Passion To Learn	Agree	Unsure	Disagree	N/A
Enjoys learning new skills and techniques.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Is open to feedback from others.
Takes initiative for own learning and development.
Stays up-to-date on emerging technologies.
Feedback	Agree	Unsure	Disagree	N/A
Is easy to approach with ideas and opinions.
Seeks feedback to enhance performance.
Asks others for their ideas and opinions.
Looks to others for input.
Open to the suggestions of others.
Time Management	Agree	Unsure	Disagree	N/A
Deals effectively with interruptions.
Ensures timely completion of vital work.
Adheres to project timelines.
Optimizes time management through automation.
Uses a team and delegates tasks to specialists to help get more work done within the same amount of time.
Trustworthy	Agree	Unsure	Disagree	N/A
Demonstrates congruence between statements and actions.
Delivers on promises made.
Is a person you can trust.
Works in a way that makes others want to work with her/him.
Takes care to maintain confidential information.
Others	Agree	Unsure	Disagree	N/A
Works across boundaries within the organization.
Supports the efforts of other employees in implementing solutions to problems.
Able to see issues from others' perspectives.
Includes others in the decision making processes.
...treats others with respect and dignity.
Strategic Focus	Agree	Unsure	Disagree	N/A
Identifies and addresses strategic risks impacting operations.
Determines the best approach to achieving desired goals.
Creates a mission statement describing the purpose for the organization.
Ensures that the department's goals are strategically aligned with the company's goals.
Is effective in using strategic tools such as value chain analysis, business environment analysis, and competitor analysis.
Company	Agree	Unsure	Disagree	N/A
Understands the use of [Company] products and services.
Impresses upon others the important aspects of [Company].
Attends [Company] gatherings and social events.
Understands the "basics" as to how [Company] functions/operates.
Expresses loyalty and dedication to [Company] in interactions with others.
Global Perspective	Agree	Unsure	Disagree	N/A
Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
Understands and appreciates the perspectives offered by others with different cultural backgrounds.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
Respects individual differences.
Forms strong client relationships with international partners.

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.