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 .

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Communication Skills	Agree	Unsure	Disagree	N/A
Comes across as comfortable and effective as a public speaker
Confidently interacts with all tiers of the organization.
Summarizes or paraphrases the current question to confirm understanding.
Presents issues, ideas, and strategy concisely and clearly.
Presents clear and persuasive information in reports.
Self Management	Agree	Unsure	Disagree	N/A
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Does not allow own emotions to interfere with the performance of others.
Analyzes interpersonal problems instead of reacting to them.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Passion To Learn	Agree	Unsure	Disagree	N/A
Embraces new technology and procedures.
Enhances value to the company through additional training and development.
Takes initiative for own learning and development.
Takes advantage of training opportunities when they arise.
Creates an environment that supports personal development and exploration.
Feedback	Agree	Unsure	Disagree	N/A
Considers other's opinion and suggestions.
Is easy to approach with ideas and opinions.
Shares past experiences with others as learning opportunities.
Is visible and approachable.
Open to the suggestions of others.
Time Management	Agree	Unsure	Disagree	N/A
Often works through lunches instead of going out for lunches.
Wastes very little time.
Works quickly to keep on schedule.
Optimizes time management through automation.
Delegates routine tasks to team members, allowing the manager to concentrate on more strategic or complex responsibilities.
Trustworthy	Agree	Unsure	Disagree	N/A
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Consistently keeps commitments.
Takes ownership, delivers on commitments
Delivers on promises made.
Communicates an understanding of the other person's interests, needs and concerns.
Others	Agree	Unsure	Disagree	N/A
Constructively receives criticism and suggestions from others.
...treats others with respect and dignity.
Consistently demonstrates ability and willingness to trust others.
Forms working relationships with employees from other departments.
Helpful
Strategic Focus	Agree	Unsure	Disagree	N/A
Inspires employees to adopt the strategic plan.
Understands the importance of developing strategic capabilities.
Creates a SWOT matrix to help analyze data.
Effectively translates strategy into operational decisions.
Supports changes being recommended from senior management.
Company	Agree	Unsure	Disagree	N/A
Understands how decisions impact other business units beyond their immediate department of work group.
Understands the "basics" as to how [Company] functions/operates.
Understands the use of [Company] products and services.
Follows existing procedures and processes.
Impresses upon others the important aspects of [Company].
Global Perspective	Agree	Unsure	Disagree	N/A
Cooperates with others on a global scale.
Builds working relationships with others across cultures.
Understands global systems such as the global economy.
Forms strong client relationships with international partners.
Analyzes global issues/problems that are having a large impact on the Company.

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.