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
Recognizes and celebrates accomplishments of others.
Sets performance objectives for subordinates that encourages development opportunities.
Is open to receiving feedback.
Creates a work environment that fosters positive feedback to employees.
Creates opportunities for professional development.
Continual Learning	Agree	Unsure	Disagree	N/A
Takes the initiative to learn new skills.
Seeks opportunities to grow in skills and knowledge.
Shares best practices with others and learns from others.
Pursues professional development opportunities when they arise.
Participates in regular training offered.
Achievement	Agree	Unsure	Disagree	N/A
Created impactful reports for the re-organization committee.
Driven to complete goals despite obstacles that may arise.
Sets challenging goals for the department.
Motivated to exceed performance goals.
Completes work to given time frame and to budget
Feedback	Agree	Unsure	Disagree	N/A
Open to the suggestions of others.
Accepts the views of others.
Considers other's opinion and suggestions.
Looks to others for input.
Actively seeks feedback from others.
Delegation	Agree	Unsure	Disagree	N/A
Allows subordinates to use their own methods and procedures.
Clearly defines duties and tasks to be completed.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Tells subordinates what to do, not how to do it.
Defines goals and objectives for subordinates.
Safety	Agree	Unsure	Disagree	N/A
Points out behaviors in others that may be unsafe.
Performs work safely.
Committed to safety in the workplace.
Ensures compliance with safety regulations.
Creates accurate and effective measures of safety.
Responsible	Agree	Unsure	Disagree	N/A
Works in a way that makes others want to work with her/him.
Sets a good example.
Responsible for setting the vision of the department.
...takes personal responsibility for results.
Acts as a resource without removing individual responsibility.
Fiscal Management	Agree	Unsure	Disagree	N/A
Develops of the department's annual budget.
Keeps excellent records for financial transparency.
Monitors spending.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Monitors expenses and verifies the need for items purchased.
Global Perspective	Agree	Unsure	Disagree	N/A
Communicates effectively on a multi-lingual basis.
Cooperates with others on a global scale.
Respects individual differences.
Able to work with others from different cultures and countries.
Engages in problem solving with individuals outside of the country.

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.