Excellence - 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 .

Excellence	Agree	Unsure	Disagree	N/A
Takes a lot of pride in their work.
Keeps themselves and others focused on constant improvement.
Is planful and organized.
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
Communication Skills	Agree	Unsure	Disagree	N/A
Delivers information in a clear, concise, and logical manner.
Conducts impactful training sessions.
Visible and approachable; is there when you need them.
Communicates crucial information to others.
Provides followup information and seeks to avoid misunderstandings.
Integrity	Agree	Unsure	Disagree	N/A
Develops trust and confidence from others.
Protects the integrity and confidentiality of information
Follows tasks to completion.
Maintains strong relationships with others.
Fosters a high standard of ethics and integrity.
Feedback	Agree	Unsure	Disagree	N/A
Looks to others for input.
Open to the suggestions of others.
Is easy to approach with ideas and opinions.
Accepts the views of others.
Actively seeks feedback from others.
Project Management	Agree	Unsure	Disagree	N/A
Implements project metrics to track progress.
Maps out the project, timeline, resource requirements, metrics and communication.
Makes sure all team members understand their roles.
Organizes, plans, and directs resources to accomplish the goals and objectives.
Establishes the sequence of steps needed to complete the project.
Quality	Agree	Unsure	Disagree	N/A
Understands and uses established quality procedures/controls.
Establishes timeframes for achieving suitable quality levels.
Verifies the operators have the necessary equipment and supplies to ensure high quality.
Demonstrates a strong commitment to achieving quality goals.
Committed to the improvement of the quality of services and products.
Time Management	Agree	Unsure	Disagree	N/A
Deals effectively with interruptions.
Provides accurate estimates for the amount of time needed to accomplish certain tasks.
Optimizes time management through automation.
Sets time limits on how much time is spent on particular tasks so that one task does not dominate the schedule.
Achieves more through effective time management.
Results Oriented	Agree	Unsure	Disagree	N/A
Is considered a high achiever.
Completed work exceeds standards.
Views obstacles as opportunities to improve self.
Explains the "whys" behind organizational objectives
Achieves long and short-term goals.
Empowering Others	Agree	Unsure	Disagree	N/A
Motivates and encourages employees to be successful in their jobs.
Trusts employees to complete tasks assigned.
Allows individuals to be responsible for their decisions.
Establishes goals that allow employees top operate independently in the field.
Lets employees complete tasks according to their methods.
Recognition	Agree	Unsure	Disagree	N/A
Offers recognition in a timely manner.
Makes people around them feel appreciated and valued.
Lets employees know when they have done well
Compliments other people when they do good work
Says "thank you" to show appreciation for work of others.
Fiscal Management	Agree	Unsure	Disagree	N/A
Monitors expenses and verifies the need for items purchased.
Monitors spending.
Provides budgeting and accounting support to the Company.
Ensures others follow the correct rules and regulations on fiscal matters.
Keeps excellent records for financial transparency.

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

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

    
    
57. Strengths
    
    
    
58. Areas for Development
    
    
    
59. Please give any final comments or suggestions for [Participant Name Here]'s assessment.