Empowering 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 .

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Empowering Others	Agree	Unsure	Disagree	N/A
Values the input from others.
Gives employees the authority to act on their own.
Empowers employees to structure their work hours to maximize their productivity.
Recognizes the expertise that employees have in certain areas and allows them the freedom to operate as they see fit.
Assigns tasks that are within the skill levels of employees.
Administrative Skill	Agree	Unsure	Disagree	N/A
High attention to detail.
Implements and uses performance measures.
Able to develop, justify and present a budget.
Completes reports on-time.
Enthusiastic about taking on challenging projects.
Leadership	Agree	Unsure	Disagree	N/A
Recognizes individual and team accomplishments and reward them appropriately.
Able to organize the work of others.
Takes ownership and accountability for results
Motivates others to reach and exceed organizational goals and objectives.
Gives direct, constructive, and actionable feedback.
Technical	Agree	Unsure	Disagree	N/A
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Knows how to produce high quality products/work.
Demonstrates mastery of the technical competencies required in his/her work.
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Is knowledgeable of procedures or systems necessary for the job.
Safety	Agree	Unsure	Disagree	N/A
Points out behaviors in others that may be unsafe.
Creates accurate and effective measures of safety.
Ensures compliance with safety regulations.
Ensures that all supervisors are aware of regulatory and compliance measures.
Participates in safety training as applicable.
Flexibility	Agree	Unsure	Disagree	N/A
Handles external information requests efficiently without disrupting workflow.
Is resilient and proactive to help thrive in unpredictable environments.
Is able to change their approach to solving a problem based on new information.
Encourages flexibility in the onboarding process.
Is versatile and resilient.
Conflict Management	Agree	Unsure	Disagree	N/A
Ensures that all team members feel respected and heard.
Assists team members by helping them see the other point of view.
Encourages team members to express their ideas and concerns openly.
Facilitates both parties in collaboratively seeking a compromise.
Addresses concerns about the availability of limited resources.
Vision	Agree	Unsure	Disagree	N/A
Facilitates employees' adoption of the organization vision.
Leads employees in new directions.
Converts the department's vision into specific goals and a strategic plan.
Cultivates an environment that embodies the department's vision.
Supports a culture of the department that is willing to implement the company's vision.

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

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

    
    
42. Strengths
    
    
    
43. Areas for Development
    
    
    
44. Please give any final comments or suggestions for [Participant Name Here]'s assessment.