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
Produces high quality work.
Takes a lot of pride in their work.
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
Keeps themselves and others focused on constant improvement.
Communication Skills	Agree	Unsure	Disagree	N/A
Conveys ideas confidently and succinctly.
Communicates effectively with colleagues and customers
Able to deliver presentations.
Gives clear and convincing presentations.
Listens to others' points of view with an open mind
Integrity	Agree	Unsure	Disagree	N/A
Demonstrates sincerity in actions with others.
Does what was promised.
Maintains strong relationships with others.
Demonstrates honesty and truthfulness at all times.
Fosters an environment built upon trust.
Feedback	Agree	Unsure	Disagree	N/A
Is easy to approach with ideas and opinions.
Seeks feedback to enhance performance.
Asks others for their ideas and opinions.
Considers other's opinion and suggestions.
Looks to others for input.
Project Management	Agree	Unsure	Disagree	N/A
Adds the necessary time buffers to avoid the project getting behind schedule.
Ensures that the project remains at or under budget.
Coordinates communication between the project team and stakeholders.
Works with both internal and external individuals to facilitate the project.
Creates the communications that will be used throughout the project's implementation.
Quality	Agree	Unsure	Disagree	N/A
Encourages employees to produce the best quality products.
Always strives to produce the highest quality work products.
Encourages others to produce the highest quality work products.
Corrects issues in a timely manner.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Time Management	Agree	Unsure	Disagree	N/A
Uses automation when possible to save time.
Persists with crucial assignments.
Uses a team and delegates tasks to specialists to help get more work done within the same amount of time.
Stays focused on the most important tasks that need completed.
Prioritizes completion of high-impact assignments.
Results Oriented	Agree	Unsure	Disagree	N/A
Identifies the steps needed to accomplish the results.
Helps the team maintain focus on the goals.
Determines the best approach to achieving the expected results.
Keeps track of progress toward the results.
Completes all required coursework.
Empowering Others	Agree	Unsure	Disagree	N/A
Expresses confidence in the abilities of others.
Creates opportunities for employees to exercise their independence.
Gives employees input into the decision making process.
Assigns tasks that are within the skill levels of employees.
Trusts employees to complete tasks assigned.
Recognition	Agree	Unsure	Disagree	N/A
Is sincerely interested in the suggestions of co-workers
Recognizes team members who offer a significant contribution to a project.
Lets employees know when they have done well
Recognizes the abilities and skills of self and others
Finds opportunities to recognize others.
Fiscal Management	Agree	Unsure	Disagree	N/A
Provides budgeting and accounting support to the Company.
Develops budgets and plans for various programs and initiatives.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Effective in using Company's resources.
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.