Empowering Others - 360 Degree Feedback Survey Sample #13

Instructions

You have been selected to provide valuable feedback for the manager listed above. Your insights are an important part of [Participant]'s leadership development process. This tool is designed to gather broad and comprehensive feedback on the core competencies and role responsibilities that are crucial for the continuous success of our organization.

When responding to the assessment form, please consider your experiences working with this individual over the past six to twelve months. Reflect on specific instances, interactions, and overall performance that you have observed. Your responses will be combined with feedback from other colleagues to create a holistic view of the manager's strengths and areas for improvement. This collective feedback will be used to guide their ongoing professional development.

Please be candid and constructive in your comments, as they will be shared anonymously with the manager. Your feedback will be instrumental in helping them understand their impact on the team and the organization, and in identifying opportunities for growth. We appreciate your time and effort in contributing to this important process.

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	Strongly Disagree	Disagree	Agree	Strongly Agree
Lets employees make their own decisions.
Encourages employees to solve problems on their own.
Gives responsibility for making important decisions to employees.
Supports the decisions of others even if those decisions may sometimes lead to mistakes.
Gives employees the freedom to set their own schedule.
Gives employees important tasks to expand their career options.
Allows the team to take responsibility for the project.
Assigns important tasks to subordinates.
Encourages independent, original thinking and creative problem-solving.
Collaboration	Strongly Disagree	Disagree	Agree	Strongly Agree
Collaborates in group decision making.
Recognizes and rewards the contributions of team members.
Gains the cooperation of others to accomplish common goals and objectives.
Has the confidence and trust of other team members.
Contributes resources and knowledge to support others' success.
Recognition	Strongly Disagree	Disagree	Agree	Strongly Agree
Uses recognition and rewards to reinforce desired behaviors.
Offers recognition that is contingent upon specific performance achievement.
Personally thanks employees for doing a good job.
Gives recognition immediately after employees achieve certain levels of performance.
Engages in employee recognition activities.
Goals	Strongly Disagree	Disagree	Agree	Strongly Agree
Connects shorter task specific goals to longer term performance goals.
Achieves the completion of multiple goals through a combination of strategic planning, adaptability, and effective time management.
Adheres to established schedules and timelines to effectively achieve goals.
Consistently stays on course and avoids distractions.
Is aware of the objectives and intentions that assigned goals aim to achieve.
Communication Skills	Strongly Disagree	Disagree	Agree	Strongly Agree
Delivers influential presentations.
Discusses ideas and concepts with peers.
Keeps an open-door policy to provide support and guidance.
Uses software, graphics, or other aids to clarify complex or technical reports.
Verifies understanding throughout discussions.
Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Upholds ethical standards and organizational values even when under pressure or facing adversity.
Ensures resources are allocated fairly and transparently across teams, projects, or departments.
Ensures the department consistently achieves production targets on time.
Considers the long-term impact of decisions and takes responsibility for potential risks.
Outlines the key measures for the project.
Project Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Prepares and utilizes QC Checklists to ensure high quality.
Responds quickly and appropriately to unforeseen problems.
Establishes the scope for the project.
Coordinates timelines, events and tasks with various sub-groups within the project.
Locates the equipment and supplies needed for the project.
Analytical	Strongly Disagree	Disagree	Agree	Strongly Agree
Creates new visualizations of the data.
Determines if facts are consistent across multiple sources.
Determines the relevance and accuracy of information.
Makes decisions based on solid, credible evidence rather than personal biases or preconceived notions.
Takes the steps to maintain precision when collecting and measuring data.

45. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
46. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
47. Overall, please rate the effectiveness of [Participant Name Here].
    

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

    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.