Communication - 360 Degree Feedback Survey Sample #13

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	Strongly Disagree	Disagree	Agree	Strongly Agree
Engages in clear communication with both senior and junior management.
Notifies others about developments in plans and goals.
Delivers clear and concise instructions.
Summarizes the question to verify comprehension.
Willing to express their concerns to colleagues.
Comes across as comfortable and effective as a public speaker
Clarifies problems logically, simplifying complex matters into digestible parts.
Recaps action steps from meetings to ensure clarity and execution.
Uses polite language and shows respect for others' opinions and time.
Self Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Does not allow own emotions to interfere with the performance of others.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Analyzes interpersonal problems instead of reacting to them.
Consciously controls own negative emotions in order to keep team morale up.
Steps away from a situation to process appropriate response.
Passion To Learn	Strongly Disagree	Disagree	Agree	Strongly Agree
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Enhances value to the company through additional training and development.
Demonstrates through personal behavior the commitment to high standards of performance.
Demonstrates a willingness to participate in continuing education courses.
Is open to feedback from others.
Feedback	Strongly Disagree	Disagree	Agree	Strongly Agree
Is visible and approachable.
Looks to others for input.
Is easy to approach with ideas and opinions.
Asks others for their ideas and opinions.
Accepts the views of others.
Time Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Maximizes time management by multitasking.
Ensures timely completion of vital work.
Uses limited time efficiently.
Understands the importance of being on time.
Successfully completes critical tasks within deadlines.
Trustworthy	Strongly Disagree	Disagree	Agree	Strongly Agree
Is a person you can trust.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Builds and maintains the trust of others.
Consistently keeps commitments.
Takes care to maintain confidential information.
Others	Strongly Disagree	Disagree	Agree	Strongly Agree
Treats others with respect and dignity.
Is able to see issues from others' perspectives.
Includes others in the decision making processes.
Constructively receives criticism and suggestions from others.
Supports the efforts of other employees in implementing solutions to problems.
Strategic Focus	Strongly Disagree	Disagree	Agree	Strongly Agree
Creates a SWOT matrix to help analyze data.
Mobilizes change through executive leadership to implement corporate strategies.
Strategically positions resources to meet the needs of branch locations.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Maintains a strategic focus on external factors impacting the success of the company.
Company	Strongly Disagree	Disagree	Agree	Strongly Agree
Understands the "basics" as to how [Company] functions/operates.
Impresses upon others the important aspects of [Company].
Understands how decisions impact other business units beyond their immediate department of work group.
Follows existing procedures and processes.
Understands the use of [Company] products and services.
Global Perspective	Strongly Disagree	Disagree	Agree	Strongly Agree
Has positive interactions with individuals from different cultures and backgrounds.
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
Understands and appreciates the perspectives offered by others with different cultural backgrounds.
Demonstrates a curiosity about diverse individuals and cultures.
Engages in problem solving with individuals outside of the country.

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

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

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