Developing Others- 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 .

Developing Others	Agree	Unsure	Disagree	N/A
Assesses employees' developmental needs.
Creates a work environment that fosters positive feedback to employees.
Is open to receiving feedback.
Recognizes and celebrates accomplishments of others.
Assigns tasks and responsibilities to develop skills of others.
Continual Learning	Agree	Unsure	Disagree	N/A
Builds on their strengths while addressing their weaknesses.
Pursues professional development opportunities when they arise.
Views setbacks as opportunities to learn from.
Grasps new ideas, concepts, technical, or business knowledge.
Pursues self-improvement through continual learning.
Achievement	Agree	Unsure	Disagree	N/A
Eliminates bureaucratic barriers to streamline processes.
Inspires others to work with a sense of urgency.
Allocates resources as needed to accomplish organizational goals.
Highly motivated to achieve or exceed performance standards.
Strives to exceed standards of performance.
Feedback	Agree	Unsure	Disagree	N/A
Considers other's opinion and suggestions.
Asks others for their ideas and opinions.
Accepts the views of others.
Is visible and approachable.
Looks to others for input.
Delegation	Agree	Unsure	Disagree	N/A
Assigns tasks to create learning opportunities for the employees.
Defines goals and objectives for subordinates.
Entrusts subordinates with important tasks.
Clearly defines duties and tasks to be completed.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Safety	Agree	Unsure	Disagree	N/A
Develops safety guidelines for the department.
Creates accurate and effective measures of safety.
Develops a culture of safety.
Committed to safety in the workplace.
Supports safety programs and procedures.
Responsible	Agree	Unsure	Disagree	N/A
Is a person you can trust.
Completes assigned work tasks.
Acts as a resource without removing individual responsibility.
Sets a good example
Sets high personal standards of performance.
Fiscal Management	Agree	Unsure	Disagree	N/A
Monitors expenses and verifies the need for items purchased.
Develops of the department's annual budget.
Ensures others follow the correct rules and regulations on fiscal matters.
Keeps excellent records for financial transparency.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Global Perspective	Agree	Unsure	Disagree	N/A
Works well with others from different cultural backgrounds.
Understands and appreciates the perspectives offered by others with different cultural backgrounds.
Builds working relationships with others across cultures.
Accepts setbacks and challenges in foreign markets as improvement opportunities
Demonstrates a curiosity about diverse individuals and cultures.

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

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

    
    
47. Strengths
    
    
    
48. Areas for Development
    
    
    
49. Please give any final comments or suggestions for [Participant Name Here]'s assessment.