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.
Produces high quality work.
Can be counted on to add value wherever they are involved.
Demonstrates the analytical skills to do their job.
Is planful and organized.
Communication Skills	Agree	Unsure	Disagree	N/A
Recaps action steps from meetings to ensure clarity and execution.
Informs others about changes or developments in plans and goals.
Willing to express their concerns to colleagues.
Provides followup information and seeks to avoid misunderstandings.
Listens attentively and without interrupting team members and customers
Integrity	Agree	Unsure	Disagree	N/A
Accepts responsibility for mistakes.
Maintains strong relationships with others.
Does what was promised.
Follows tasks to completion.
Demonstrates honesty and truthfulness at all times.
Feedback	Agree	Unsure	Disagree	N/A
Is easy to approach with ideas and opinions.
Looks to others for input.
Is visible and approachable.
Actively seeks feedback from others.
Considers other's opinion and suggestions.
Project Management	Agree	Unsure	Disagree	N/A
Correctly estimates the cost of supplies for the project.
Prepares and utilizes QC Checklists to ensure high quality.
Develops action items, workplans, timelines, and criteria for projects.
Outlines the key objectives for the project.
Uses scheduling software to create and monitor the timeline.
Quality	Agree	Unsure	Disagree	N/A
Consistently provides timely, accurate, and reliable information on quality measures.
Identifies strategies and their associated risks to improve quality.
Encourages others to produce the highest quality work products.
Competently and accurately analyzes quality measures.
Analyzes quality improvement plans and initiatives.
Time Management	Agree	Unsure	Disagree	N/A
Completes high-priority work within required timelines.
Starts meetings on time.
Excellent at keeping track of time.
Deals effectively with interruptions.
Prioritizes new tasks according to their relative importance.
Results Oriented	Agree	Unsure	Disagree	N/A
Sets the objectives for the team.
Adapts to disruptions in the supply chain to maintain production levels.
Explains the "whys" behind organizational objectives
Completes all required coursework.
Stays focused on solving problems and getting work done.
Empowering Others	Agree	Unsure	Disagree	N/A
Empowers employees to structure their work hours to maximize their productivity.
Assigns tasks that allow employees to use their critical thinking skills.
Encourages employees to take on greater responsibilities.
Supports the decisions of others.
Allows employees to take ownership of their work.
Recognition	Agree	Unsure	Disagree	N/A
Is sincerely interested in the suggestions of co-workers
Says "thank you" to show appreciation for work of others.
Recognizes team members who offer a significant contribution to a project.
Finds opportunities to recognize others.
Readily shares credit and gives others opportunity for visibility.
Fiscal Management	Agree	Unsure	Disagree	N/A
Develops budgets and plans for various programs and initiatives.
Monitors expenses and verifies the need for items purchased.
Keeps excellent records for financial transparency.
Develops of the department's annual budget.
Ensures others follow the correct rules and regulations on fiscal matters.

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.