Continual Improvement - 360 Degree Feedback Survey Sample #13

Instructions

You have been selected to provide valuable feedback for the manager listed above. Your insights are an important part of [Participant]'s leadership development process. This tool is designed to gather broad and comprehensive feedback on the core competencies and role responsibilities that are crucial for the continuous success of our organization.

When responding to the assessment form, please consider your experiences working with this individual over the past six to twelve months. Reflect on specific instances, interactions, and overall performance that you have observed. Your responses will be combined with feedback from other colleagues to create a holistic view of the manager's strengths and areas for improvement. This collective feedback will be used to guide their ongoing professional development.

Please be candid and constructive in your comments, as they will be shared anonymously with the manager. Your feedback will be instrumental in helping them understand their impact on the team and the organization, and in identifying opportunities for growth. We appreciate your time and effort in contributing to this important process.

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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Continuous Improvement	Strongly Disagree	Disagree	Agree	Strongly Agree
Uses expertise to identify and implement production line improvements.
Promotes cross-functional projects that build awareness of operational interdependencies.
Looks for ways to improve work processes and procedures.
Employs data-driven experimental methods to determine the best operating conditions.
Continually seeks opportunities to improve efficiency.
Incorporates Total Quality Control processes into the production line.
Ensures employees have clear instructions, standards, and resources so work can be completed correctly on the first attempt.
Investigates the root causes of problems.
Participates in competitive benchmarking studies such as: American Customer Satisfaction Index (ACSI), Consumer Reports Ratings, and JD Power and Associates.
Attitude	Strongly Disagree	Disagree	Agree	Strongly Agree
Maintains optimism by turning mistakes into actionable learning moments.
Demonstrates confidence in navigating ambiguity and motivates others to act despite uncertainty.
Remains positive even when working with individuals who have poor attitudes.
Volunteers to take responsibility for assignments that fall outside their immediate scope to help move the team forward.
Participates in planning and facilitating team-building activities or staff recognition events.
Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Communicates with clarity and confidence across all levels of the organization.
Maintains an open-door policy to be available to answer questions and provide guidance to employees.
Openly admits errors and uses them as learning opportunities for self and team.
Gives feedback based on specific actions or behaviors that were observed/documented.
Maintains strict confidentiality of information and positions discussed during conflict resolution or negotiations.
Performance	Strongly Disagree	Disagree	Agree	Strongly Agree
Has great overall performance
Effective in performing his/her job.
...Overall Performance
Able to organize work.
Works effectively in the department.
Clarity	Strongly Disagree	Disagree	Agree	Strongly Agree
Clearly defines work objectives for employees.
Provides a clear vision for the future.
Adjusts communication methods to the needs of the audience.
Uses appropriate grammar and tense in communications.
Checks details thoroughly.
Collaboration	Strongly Disagree	Disagree	Agree	Strongly Agree
Creates an environment where others feel comfortable sharing knowledge and information.
Ensures relevant data is available to all committee members.
Models collaborative behavior through leading by example.
Respectful of others in group discussions.
Fosters a cooperative environment rather than a highly competitive one.

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

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

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