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
Keeps themselves and others focused on constant improvement.
Can be counted on to add value wherever they are involved.
Produces high quality work.
Demonstrates the functional or technical skills necessary to do their job.
Demonstrates the analytical skills to do their job.
Communication Skills	Agree	Unsure	Disagree	N/A
Coaches others and provides feedback on the use of different oral communication styles for different audiences
Communicates effectively with all levels of the organization.
Able to deliver presentations.
Is an effective communicator
Checks for understanding throughout conversations or group presentations/discussions
Integrity	Agree	Unsure	Disagree	N/A
Follows tasks to completion.
Does what was promised.
Demonstrates sincerity in actions with others.
Establishes relationships of trust, honesty, fairness, and integrity.
Accepts responsibility for mistakes.
Feedback	Agree	Unsure	Disagree	N/A
Asks others for their ideas and opinions.
Is easy to approach with ideas and opinions.
Shares past experiences with others as learning opportunities.
Looks to others for input.
Actively seeks feedback from others.
Project Management	Agree	Unsure	Disagree	N/A
Responds quickly and appropriately to unforeseen problems.
Inspires others to accomplish goals and objectives.
Develops action items, workplans, timelines, and criteria for projects.
Able to adjust project schedule as needed to accommodate unforeseen issues.
Organizes, plans, and directs resources to accomplish the goals and objectives.
Quality	Agree	Unsure	Disagree	N/A
Analyze what occurred and re-adjusts accordingly when goals are not met.
Corrects issues in a timely manner.
Reflects on what is working and what could be improved.
Encourages others to produce the highest quality work products.
Holds employees accountable for their quality of work.
Time Management	Agree	Unsure	Disagree	N/A
Sets a good balance between work and family life.
Does not procrastinate.
Keeps and maintains a To-Do list.
Completes high-priority work within required timelines.
Focuses on tasks that have high priority.
Results Oriented	Agree	Unsure	Disagree	N/A
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Does not become distracted by non-issues or interruptions.
Directs team in prioritizing daily work activities
Works toward achievement of goals even when confronted with obstacles.
Helps others when free-time is available.
Empowering Others	Agree	Unsure	Disagree	N/A
Allows employees to make their own decisions.
Avoids micromanaging their employees.
Sets clear goals for others to accomplish.
Lets employees complete tasks according to their methods.
Distributes the workload to subordinates.
Recognition	Agree	Unsure	Disagree	N/A
Finds opportunities to recognize others.
Says "thank you" to show appreciation for work of others.
Lets employees know when they have done well
Recognizes team members who offer a significant contribution to a project.
Is sincerely interested in the suggestions of co-workers
Fiscal Management	Agree	Unsure	Disagree	N/A
Provides budgeting and accounting support to the Company.
Keeps excellent records for financial transparency.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops budgets and plans for various programs and initiatives.
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.