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.



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Empowering Others	Strongly Disagree	Disagree	Agree	Strongly Agree
Allows employees to take on more responsibilities.
Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.
Coordinates the knowledge, skills and resources of others to accomplish more in the department.
Acknowledges and appreciates employees for their proactive decision-making.
Values the expertise that others bring to the team.
Motivates and encourages employees to be successful in their jobs.
Assigns tasks that are within the skill levels of employees.
Distributes the workload to subordinates.
Includes others in the decision making process.
Collaboration	Strongly Disagree	Disagree	Agree	Strongly Agree
Works with others to develop strategies to identify needs and priorities.
Works with others to pool knowledge, ideas and resources to provide deeper insights into difficult issues.
Builds consensus among partners.
Builds strong interpersonal relationships for more effective collaboration.
Respects and utilizes diverse perspectives in addressing challenges.
Recognition	Strongly Disagree	Disagree	Agree	Strongly Agree
Recognizes team members who offer a significant contribution to a project.
Compliments other people when they do good work
Lets employees know when they have done well
Says "thank you" to show appreciation for work of others.
Recognizes the abilities and skills of self and others
Goals	Strongly Disagree	Disagree	Agree	Strongly Agree
Makes sure that I have a clear idea of our group's goals.
Achieves established goals.
Sets high expectations and goals; encourages others to support the organization.
Makes sure that team members have a clear idea of our group's goals.
Understands & contributes to development of strategic goals.
Communication Skills	Strongly Disagree	Disagree	Agree	Strongly Agree
Discusses ideas and concepts with peers.
Maintains an open-door policy to be available for answers and guidance when needed.
Able to deliver presentations.
Delivers effective public presentations.
Makes the complex simple.
Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Takes responsibility for things that go wrong
Keep staff informed about what is happening in the company
Sets an example for others to follow
Is ready to offer help
Delegate tasks effectively
Project Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Correctly estimates the cost of supplies for the project.
Assesses the ability of the organization to handle the project.
Documents the sequence of steps needed to complete the project.
Determines the project scope.
Manages various facets of the project to keep it on track with the delivery date.
Analytical	Strongly Disagree	Disagree	Agree	Strongly Agree
Measures costs associated with various programs and policies.
Synthesizes data from multiple sources to draw logical conclusions.
Creates graphs, charts, and other visual representations of data making it easier to interpret and communicate findings.
Identifies the part of the business value chain that is affected by a particular decision or action, diagnoses the situation, and prioritize what needs to be done and who needs to be involved.
Analyzes various legal and business situations to find patterns and draw conclusions that others might miss.

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.