Critical Thinking- 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 .

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Critical Thinking	Agree	Unsure	Disagree	N/A
Frames findings within the context of the original question or hypothesis.
Applies structured analysis to distill complex information into clear, actionable insights.
Evaluates data against expectations to surface gaps, inconsistencies, or opportunities.
Confronts problems, decides on a course of action, and implements the correct solutions.
Draws comparisons between different data sets to identify similarities and differences.
Results Oriented	Agree	Unsure	Disagree	N/A
Views obstacles as opportunities to improve self.
Flexible and willing to change the strategy to better achieve the objectives.
Seeks out stretch assignments to challenge personal and team capabilities.
Streamlines procedures when legacy methods hinder progress.
Maintains focus on end goals while adapting the path to get there.
Trustworthy	Agree	Unsure	Disagree	N/A
Demonstrates congruence between statements and actions.
Takes care to maintain confidential information.
Delivers on promises made.
Communicates an understanding of the other person's interests, needs and concerns.
Is a person you can trust.
Co-worker Development	Agree	Unsure	Disagree	N/A
Takes immediate action on poor performance
Sets and clearly communicates expectations, performance goals, and measurements to others
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Works to identify root causes of performance problems
Others	Agree	Unsure	Disagree	N/A
Works across boundaries within the organization.
...treats others with respect and dignity.
Includes others in the decision making processes.
Forms working relationships with employees from other departments.
Supports the efforts of other employees in implementing solutions to problems.
Organizational Fluency	Agree	Unsure	Disagree	N/A
Gets things done through the department.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Adept at navigating within the culture of the department.
Able to deal with sensitive issues with tact and professionalism.
Effective in communicating with others within the organization.
Attitude	Agree	Unsure	Disagree	N/A
Volunteers to represent the team in cross-functional or company-wide working groups.
Offers to test new tools, systems, or workflows to improve organizational effectiveness.
Expresses sincere appreciation for others' efforts -- regardless of how routine or behind-the-scenes they may be.
Demonstrates humility by embracing new ideas and feedback.
Understands value of time and does not waste the time of others.

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

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

    
    
37. Strengths
    
    
    
38. Areas for Development
    
    
    
39. Please give any final comments or suggestions for [Participant Name Here]'s assessment.