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
Encourages employees to expand their skills in order to take on greater responsibilities.
Gives responsibility for making important decisions to employees.
Values the expertise that others bring to the team.
Assigns tasks that are within the skill levels of employees.
Allows the employees to have flexible work schedules.
Administrative Skill	Agree	Unsure	Disagree	N/A
High attention to detail.
Strong organizational skills to keep the workspace and department in order
Able to develop, justify and present a budget.
Enthusiastic about taking on challenging projects.
Implements and uses performance measures.
Leadership	Agree	Unsure	Disagree	N/A
Highly effective supervisor.
Motivates and challenges employees to attain a shared vision.
Able to align manpower, design work, an allocate tasks to achieve goals.
Sets a high level of performance expectations and challenges others to do the same.
Expresses clear goals and objectives.
Technical	Agree	Unsure	Disagree	N/A
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.
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.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Seeks information from others as needed.
Safety	Agree	Unsure	Disagree	N/A
Ensures that all supervisors are aware of regulatory and compliance measures.
Develops a culture of safety.
Develops a sustainable safety culture.
Keeps accurate safety records.
Commits adequate resources toward safety measures.
Flexibility	Agree	Unsure	Disagree	N/A
Promotes flexibility in approaches by encouraging employees to think outside the box and experiment with new methods and ideas.
Encourages flexibility in the onboarding process.
Able to make changes to their leadership style after receiving constructive feedback through the performance review.
Ensures that each employee's unique learning style is accommodated, which maximizes the effectiveness of the training.
Is open to change and new ways of doing things.
Conflict Management	Agree	Unsure	Disagree	N/A
Does not let minor issues escalate into major problems.
Promotes a culture that values diverse perspectives.
Seeks to have both sides voluntarily work together to resolve their differences.
Removes misperceptions that may be contributing to the conflict.
Combines different ideas and viewpoints.
Vision	Agree	Unsure	Disagree	N/A
Envisions and articulates a clear path for the department's accelerated growth over the next year.
Pinpoints challenges and devises strategies.
Detects problems and creates solutions.
Supports a positive vision for the future that increases market share and the bottom line.
Cultivates an environment that embodies the department'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.