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
Delivers information in a clear, concise, and logical manner.
Coaches others and provides feedback on the use of different oral communication styles for different audiences
Able to deliver presentations.
Communicates effectively with all levels of the organization.
Is an effective communicator
Self Management	Agree	Unsure	Disagree	N/A
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Steps away from a situation to process appropriate response.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Passion To Learn	Agree	Unsure	Disagree	N/A
Inspires others to learn new things.
Is open minded and curious about learning new skills.
Constantly enhances product knowledge through experimentation and play.
Demonstrates a willingness to participate in continuing education courses.
Creates an environment that supports personal development and exploration.
Feedback	Agree	Unsure	Disagree	N/A
Shares past experiences with others as learning opportunities.
Accepts the views of others.
Is easy to approach with ideas and opinions.
Seeks feedback to enhance performance.
Looks to others for input.
Time Management	Agree	Unsure	Disagree	N/A
Works on critical tasks as quickly as possible.
Confronts significant problems directly to reduce their impact on the schedule.
Allows for time buffers between tasks so that the schedule does not become delayed due to unforeseen circumstances.
Consistently meets production deadlines.
Achieves more through effective time management.
Trustworthy	Agree	Unsure	Disagree	N/A
Demonstrates congruence between statements and actions.
Demonstrates a sense of responsibility and commitment to public trust.
Takes ownership, delivers on commitments
Works in a way that makes others want to work with her/him.
Builds and maintains the trust of others.
Others	Agree	Unsure	Disagree	N/A
Works effectively with people from other departments.
Works across boundaries within the organization.
Helpful
Consistently demonstrates ability and willingness to trust others.
Treats others with respect and dignity.
Strategic Focus	Agree	Unsure	Disagree	N/A
Scans the environment for opportunities to exploit.
Detects changes in the environment and updates the strategic plan to address new opportunities or threats.
Crafts and executes strategies to advance the company.
Creates a SWOT matrix to help analyze data.
Avoids complacency and strives to be ahead of changes in the business environment.
Company	Agree	Unsure	Disagree	N/A
Attends [Company] gatherings and social events.
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the use of [Company] products and services.
Understands the "basics" as to how [Company] functions/operates.
Follows existing procedures and processes.
Global Perspective	Agree	Unsure	Disagree	N/A
Applies knowledge of overseas markets.
Understands how cultures differ and how these differences impact work behavior.
Sets the example for team on importance of cultural awareness.
Is able to work with individuals having different backgrounds and cultures.
Attends training seminars and conferences to increase skills in working with others globally.

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.