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 .

Empowering Others	Agree	Unsure	Disagree	N/A
Creates a culture where employees are recognized and rewarded for taking the initiative and making impactful choices.
Encourages employees to expand their skills in order to take on greater responsibilities.
Gives employees autonomy to complete tasks on their own.
Values the opinions of others.
Values the input from others.
Administrative Skill	Agree	Unsure	Disagree	N/A
Strong organizational skills to keep the workspace and department in order
Enthusiastic about taking on challenging projects.
Able to develop, justify and present a budget.
Takes responsibility for decisions.
Accurately implements contract provisions.
Leadership	Agree	Unsure	Disagree	N/A
Gives inspiring presentations or discussions.
Guides decision-making by coaching, counseling and rewarding.
Provides resources to enable individuals to develop professionally.
Sets a high level of performance expectations and challenges others to do the same.
Highly effective supervisor.
Technical	Agree	Unsure	Disagree	N/A
Willingly shares his/her technical expertise; sought out as resource by others
Seeks information from others as needed.
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.
Demonstrates mastery of the technical competencies required in his/her work.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Safety	Agree	Unsure	Disagree	N/A
Develops a culture of safety.
Is aware of OSHA safety guidelines.
Identifies and addresses safety needs.
Ensures compliance with safety regulations.
Keeps accurate safety records.
Flexibility	Agree	Unsure	Disagree	N/A
Regularly assesses current methods, welcomes feedback, and is willing to implement changes to improve efficiency and effectiveness.
Capable of adjusting to necessary modifications in the work environment.
Seeks opportunities to improve processes and procedures to benefit the department.
Capable of delivering a diverse range of goods and services to meet various business requirements.
Agile and versatile when responding to critical issues.
Conflict Management	Agree	Unsure	Disagree	N/A
Works with others as needed to facilitate resolution of conflicts.
Steers the process towards compromise and conflict resolution.
Tries to ensure that all basic needs are satisfied.
Resolves grievances through a better understanding and appreciation of what each side needs.
Combines different ideas and viewpoints.
Vision	Agree	Unsure	Disagree	N/A
Assigns the responsibility of implementing the vision to the team, ensuring they have clear guidance, adequate resources, and the necessary authority.
Creates a workplace culture that reflects the organizational vision.
Demonstrates consistency between words and actions
Develops action plans to align his/her work with the goals of the organization.
Designs a forward-thinking strategy to achieve the department's growth goals.

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.