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
Helps employees advance their skills so that they can have more autonomy.
Trusts employees to complete tasks assigned.
Assigns tasks that allow employees to use their critical thinking skills.
Is confident in the abilities of employees assigned important tasks.
Gives employees the resources they need to complete the job.
Administrative Skill	Agree	Unsure	Disagree	N/A
Strong organizational skills to keep the workspace and department in order
Able to develop, justify and present a budget.
Accurately implements contract provisions.
High attention to detail.
Completes reports on-time.
Leadership	Agree	Unsure	Disagree	N/A
Demonstrates leadership and courage in critical situations.
Is a highly effective supervisor.
Takes ownership and accountability for results
Sits down regularly with employees to review their job performance.
Acts decisively in implementing decisions.
Technical	Agree	Unsure	Disagree	N/A
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Knows how to produce high quality products/work.
Seeks information from others as needed.
Willingly shares information and expertise; sought out as resource by others
Safety	Agree	Unsure	Disagree	N/A
Participates in safety training when offered.
Seeks to reduce the likelihood of accidents.
Develops a strong safety culture.
Identifies and addresses safety needs.
Is not afraid to question a potential safety issue observed in the workplace.
Flexibility	Agree	Unsure	Disagree	N/A
Is able to change their approach to solving a problem based on new information.
Is flexible in delivering training content to maximizes the benefits of training but also fosters an inclusive learning environment that can lead to greater team cohesion and productivity.
Allows for flexibility in the agenda for the team meeting.
Effectively manages changes in financial resources.
Creates innovative solutions to unforeseen problems.
Conflict Management	Agree	Unsure	Disagree	N/A
Seeks to achieve mutually acceptable outcomes.
Examines differences and disagreements for creative and strategic resolutions.
Listens to individuals as they offer their unique perspectives on the situation.
Facilitates constructive dialog with stakeholders.
Facilitates both parties in collaboratively seeking a compromise.
Vision	Agree	Unsure	Disagree	N/A
Focuses efforts on implementing the organization's strategic vision.
Develops a strategic vision informed by comprehensive analysis of the company's performance.
Channels team activities towards the vision's core aspects.
Transforms the department's vision into a clearly defined, actionable set of goals and a comprehensive strategic plan.
Creates a common vision for others.

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.