Engagement- 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 .

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Engagement	Agree	Unsure	Disagree	N/A
Engages with team members at a high level.
Understands the goals that need to be accomplished.
Keeps employees informed about what is going on at the company.
Supports employees when they have to make decisions on the job.
Brings energy that inspires coworkers to give their best effort.
Others	Agree	Unsure	Disagree	N/A
Consistently demonstrates ability and willingness to trust others.
Treats others with respect and dignity.
Works effectively with people from other departments.
Is able to see issues from others' perspectives.
Supports the efforts of other employees in implementing solutions to problems.
Cultural Awareness	Agree	Unsure	Disagree	N/A
Willing to work with employees who have different cultural backgrounds.
Accepts individual differences.
Understands what customs and etiquette are important for individuals from other cultures.
Effective in working with individuals with a variety of cultural backgrounds.
Actively listens to diverse viewpoints without judgment or dismissal.
Results Oriented	Agree	Unsure	Disagree	N/A
Flexible and willing to change the strategy to better achieve the objectives.
Willing to take on new assignments to help increase production.
Produces a high volume of work.
Coordinates cross-functional efforts to ensure dependencies are addressed proactively.
Adapts to disruptions in the supply chain to maintain production levels.
Organizational Fluency	Agree	Unsure	Disagree	N/A
Able to use corporate politics to advance department objectives.
Understands departmental policies and procedures.
Anticipates problems that may affect the department.
Able to explain departmental policies and procedures to others.
Understands the current organizational culture.

26. Overall, please rate the effectiveness of [Participant Name Here].
    

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

    
    
27. Strengths
    
    
    
28. Areas for Development
    
    
    
29. Please give any final comments or suggestions for [Participant Name Here]'s assessment.