Coworker Development- 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 .

Co-worker Development	Agree	Unsure	Disagree	N/A
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
Works to identify root causes of performance problems
Adapts coaching and mentoring approach to meet the style or needs of individuals
Professional Development	Agree	Unsure	Disagree	N/A
Seeks opportunities for professional development.
Contributing fully to the extent of their skills
Encourages employees to take courses relevant to their job.
Quickly acquire and apply new knowledge and skills when needed
Seeks opportunities for continuous learning.
Self Management	Agree	Unsure	Disagree	N/A
Analyzes interpersonal problems instead of reacting to them.
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.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Emotional Intelligence	Agree	Unsure	Disagree	N/A
Is able to control their own emotions.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to express themselves clearly.
Able to understand others' points of view.
Persuasion and Influence	Agree	Unsure	Disagree	N/A
Communicates effectively with others.
Able to express own goals and needs.
Seeks to obtain consensus or compromise.
Attempts to persuade others rather than simply control them.
Understanding what others need.
Delegation	Agree	Unsure	Disagree	N/A
Allows employees to decide how they wish to complete the tasks.
Defines goals and objectives for subordinates.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Assigns tasks to create learning opportunities for the employees.
Creativity	Agree	Unsure	Disagree	N/A
Is creative.
Adds value to the department/organization.
Is creative and inspirational.
Creates a lot of new ideas.
Inspires creativity in their team.
Achievement	Agree	Unsure	Disagree	N/A
Makes use of talents of others to help achieve a high level of performance.
Uses established goals and performance measures to keep track of performance.
Completes work to a high technical standard
Works at a quick pace to complete a high volume of work.
Allocates resources as needed to accomplish organizational goals.
Objectives	Agree	Unsure	Disagree	N/A
Organizes and schedules events, activities, and resources.
Effectively organizes resources and plans
Consistently provides me with timely feedback for improving my performance.
Establishes goals and objectives.
Works toward achieving established goals and objectives.
Customer Focus	Agree	Unsure	Disagree	N/A
Exceeds expectations of the customers.
Provides a high level of service to customers.
Consistently exceeds customer expectations.
Acts with integrity in all customer interactions.
Is honest in all communication with the customers.
Fiscal Management	Agree	Unsure	Disagree	N/A
Ensures others follow the correct rules and regulations on fiscal matters.
Effective in using Company's resources.
Develops budgets and plans for various programs and initiatives.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops of the department's annual budget.

56. Overall, please rate the effectiveness of [Participant Name Here].
    

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

    
    
57. Strengths
    
    
    
58. Areas for Development
    
    
    
59. Please give any final comments or suggestions for [Participant Name Here]'s assessment.