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
Sets and clearly communicates expectations, performance goals, and measurements to others
Provides ongoing feedback to co-workers on their development progress
Takes immediate action on poor performance
Works to identify root causes of performance problems
Gives others development opportunities through project assignments and increased job responsibilities
Professional Development	Agree	Unsure	Disagree	N/A
Contributing fully to the extent of their skills
Seeks opportunities for continuous learning.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Quickly acquire and apply new knowledge and skills when needed
Encourages employees to take courses relevant to their job.
Self Management	Agree	Unsure	Disagree	N/A
Steps away from a situation to process appropriate response.
Uses patience and self-control in working with customers and associates.
Analyzes interpersonal problems instead of reacting to them.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Emotional Intelligence	Agree	Unsure	Disagree	N/A
Able to understand others' points of view.
Is able to express themselves clearly.
Accurately perceives the emotional reactions of others.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Persuasion and Influence	Agree	Unsure	Disagree	N/A
Able to express own goals and needs.
Has excellent influencing/negotiating skills.
Persuades others to consider alternative points of view.
Ensures stakeholders are involved in the decision making process.
Attempts to persuade others rather than simply control them.
Delegation	Agree	Unsure	Disagree	N/A
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Sets clear and reasonable expectations for others and follows through on their progress.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Allows employees to decide how they wish to complete the tasks.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Creativity	Agree	Unsure	Disagree	N/A
Is creative and inspirational.
Creates a lot of new ideas.
Develops solutions to challenging problems.
Conceives, implements and evaluates ideas.
Is creative.
Achievement	Agree	Unsure	Disagree	N/A
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Systematically works to improve the organization
Follows-up and takes action when goals are not met to ensure better results in the future.
Takes immediate action of projects fall behind schedule.
Completes work to a high technical standard
Objectives	Agree	Unsure	Disagree	N/A
Encourages me to take on greater responsibility.
Assures [Company] principles are understood, employed & pursued.
Establishes goals and objectives.
Able to organize work.
Sets long-term and short-term goals.
Customer Focus	Agree	Unsure	Disagree	N/A
...friendliness and courtesy
Consistently models positive customer service attitudes.
Develops good rapport and trust with the customer.
Does not hesitate to address customer concerns or complaints.
Maintains positive customer relationships.
Fiscal Management	Agree	Unsure	Disagree	N/A
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Monitors expenses and verifies the need for items purchased.
Develops of the department's annual budget.
Effective in using Company's resources.
Ensures others follow the correct rules and regulations on fiscal matters.

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.