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
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
Produces high quality work.
Keeps themselves and others focused on constant improvement.
Demonstrates the analytical skills to do their job.
Communication Skills	Agree	Unsure	Disagree	N/A
Communicates clearly and get to the point without unnecessary details.
Presents their message with professionalism.
Able to communicate ideas effectively and succinctly to both individuals and groups, in any setting.
Uses polite language and shows respect for others' opinions and time.
Provides feedback in a helpful and respectful way, focusing on improvement.
Integrity	Agree	Unsure	Disagree	N/A
Maintains strong relationships with others.
Demonstrates sincerity in actions with others.
Establishes relationships of trust, honesty, fairness, and integrity.
Protects the integrity and confidentiality of information
Does what was promised.
Feedback	Agree	Unsure	Disagree	N/A
Actively seeks feedback from others.
Open to the suggestions of others.
Asks others for their ideas and opinions.
Is visible and approachable.
Accepts the views of others.
Project Management	Agree	Unsure	Disagree	N/A
Engages stakeholders and team members in open discussions.
Conducts a risk assessment for each phase of the project.
Follows progress on the project from initial phase to completion.
Plans who, when, and what work needs to get done.
Assigns project roles to the team members.
Quality	Agree	Unsure	Disagree	N/A
Creates effective policies regarding quality of services and products.
Leads the department in quality improvement initiatives.
Holds employees accountable for their quality of work.
Establishes timeframes for achieving suitable quality levels.
Competently and accurately analyzes quality measures.
Time Management	Agree	Unsure	Disagree	N/A
Does not become flustered by deadlines and timelines.
Prioritizes high value tasks at work.
Is proactive in completing work.
Completes tasks ahead of schedule.
Deals effectively with interruptions.
Results Oriented	Agree	Unsure	Disagree	N/A
Achieves long and short-term goals.
Plans the best course of action to achieve the goal.
Concentrates efforts on the most urgent needs.
Removes bureaucratic barriers to streamline processes.
Overcomes obstacles to continue working toward goals.
Empowering Others	Agree	Unsure	Disagree	N/A
Delegates authority to employees and allows them to make their own decisions.
Values the opinions of others.
Trusts employees with important responsibilities.
Ensures employees understand what is being assigned to them.
Allows individuals to be responsible for their decisions.
Recognition	Agree	Unsure	Disagree	N/A
Compliments other people when they do good work
Finds opportunities to recognize others.
Offers recognition in a timely manner.
Makes people around them feel appreciated and valued.
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.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Keeps excellent records for financial transparency.
Provides budgeting and accounting support to the Company.
Develops of the department's annual budget.

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.