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
Supports the successes of other employees.
Encourages employees through recognition of positive changes in behavior.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Is open to receiving feedback.
Sets performance objectives for subordinates that encourages development opportunities.
Continual Learning	Agree	Unsure	Disagree	N/A
Pursues learning that will enhance job performance.
Seeks opportunities to grow in skills and knowledge.
Shares best practices with others and learns from others.
Participates in regular training offered.
Builds on their strengths while addressing their weaknesses.
Achievement	Agree	Unsure	Disagree	N/A
Makes use of talents of others to help achieve a high level of performance.
Is determined to complete tasks regardless of obstacles that may occur.
Accepts setbacks and challenges as improvement opportunities
Works at a quick pace to complete a high volume of work.
Uses established goals and performance measures to keep track of performance.
Feedback	Agree	Unsure	Disagree	N/A
Considers other's opinion and suggestions.
Actively seeks feedback from others.
Seeks feedback to enhance performance.
Accepts the views of others.
Looks to others for input.
Delegation	Agree	Unsure	Disagree	N/A
Assigns tasks to create learning opportunities for the employees.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Entrusts subordinates with important tasks.
Sets clear and reasonable expectations for others and follows through on their progress.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Safety	Agree	Unsure	Disagree	N/A
Performs work safely.
Points out behaviors in others that may be unsafe.
Ensures that all supervisors are aware of regulatory and compliance measures.
Supports our company's safety programs.
Mitigates hazards and safety issues that arise.
Responsible	Agree	Unsure	Disagree	N/A
Acts as a resource without removing individual responsibility.
Responsible for setting the vision of the department.
Completes assigned work tasks.
Sets a good example
Holds herself / himself accountable to goals / objectives
Fiscal Management	Agree	Unsure	Disagree	N/A
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops of the department's annual budget.
Monitors spending.
Monitors expenses and verifies the need for items purchased.
Provides budgeting and accounting support to the Company.
Global Perspective	Agree	Unsure	Disagree	N/A
Demonstrates a curiosity about diverse individuals and cultures.
Attends training seminars and conferences to increase skills in working with others globally.
Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
Analyzes global issues/problems that are having a large impact on the Company.
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.

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.