Excellence - 360 Degree Feedback Survey Sample #13

Instructions

You have been selected to provide valuable feedback for the manager listed above. Your insights are an important part of [Participant]'s leadership development process. This tool is designed to gather broad and comprehensive feedback on the core competencies and role responsibilities that are crucial for the continuous success of our organization.

When responding to the assessment form, please consider your experiences working with this individual over the past six to twelve months. Reflect on specific instances, interactions, and overall performance that you have observed. Your responses will be combined with feedback from other colleagues to create a holistic view of the manager's strengths and areas for improvement. This collective feedback will be used to guide their ongoing professional development.

Please be candid and constructive in your comments, as they will be shared anonymously with the manager. Your feedback will be instrumental in helping them understand their impact on the team and the organization, and in identifying opportunities for growth. We appreciate your time and effort in contributing to this important process.

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 .

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Excellence	Strongly Disagree	Disagree	Agree	Strongly Agree
Evaluates performance with clarity, accuracy, and objectivity.
Draws on the expertise and insights of others.
Improves ability to find patterns, connections, and trends in data.
Demonstrates the functional or technical skills necessary to do their job.
Adapts quickly to new tools, systems, and technological trends.
Identifies emerging trends and anticipates future needs to position the team for long-term success.
Sets an ambitious vision for the future.
Seeks additional responsibilities.
Demonstrates the analytical skills to do their job.
Developing Others	Strongly Disagree	Disagree	Agree	Strongly Agree
Assesses employees' developmental needs.
Encourages employees through recognition of positive changes in behavior.
Assigns tasks and responsibilities to develop skills of others.
Is open to receiving feedback.
Sets performance objectives for subordinates that encourages development opportunities.
Emotional Intelligence	Strongly Disagree	Disagree	Agree	Strongly Agree
Is able to express themselves clearly.
Is able to manage their own emotions.
Is able to control their own emotions.
Accurately perceives the emotional reactions of others.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Establishing Focus/Direction	Strongly Disagree	Disagree	Agree	Strongly Agree
Selects specific strategies and design options to help the organization achieve success within a competitive environment.
Schedules regular one-on-one meetings with employees to help give focus and direction.
Develops contingency plans to proactively address potential risks.
Schedules regular check-ins and 'roundings' where employees can discuss their goals, preferences, and any areas where they need support.
Sets expectations for acceptable job performance.
Performance	Strongly Disagree	Disagree	Agree	Strongly Agree
Assigns specific responsibilities to individuals on the team.
Encourages employees to take on responsibilities that strengthen weak performance areas.
Maintains team morale and direction during periods of uncertainty or strain.
Adjusts quickly when plans shift, maintaining productivity and composure.
Meets regularly to discuss job performance.
Quality	Strongly Disagree	Disagree	Agree	Strongly Agree
Implements quality control feedback loops to enhance services and products.
Able to anticipate quality issues and take preventative actions.
Presents quality information and data in an easy to understand format.
Is a role model for quality practices and standards.
Coaches team members on how to inspect their own work with the same rigor expected from formal quality checks.
Problem Solving	Strongly Disagree	Disagree	Agree	Strongly Agree
Uses structured comparison methods (decision matrices, pros/cons grids, scenario tables) to contrast alternatives in a rational, transparent way.
Determines the order in which the action steps need to be completed including steps that may be dependent on others.
Gets buy-in from constituents before implementing solutions.
Sets realistic deadlines for each action step and for the overall completion of the solution.
Ability to develop innovative solutions to problems.
Goals	Strongly Disagree	Disagree	Agree	Strongly Agree
Defines specific performance targets to measure goal attainment.
Adapts communication about goals to match the needs, readiness, or understanding of different team members.
Modifies expectations or deliverables when team members encounter unforeseen barriers, ensuring goals remain attainable.
Strategically positions the company effectively in the market by setting goals that leverage unique value propositions and target market segments.
Creates situational and task-specific goals that help to provide clear direction and purpose.

45. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
46. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
47. Overall, please rate the effectiveness of [Participant Name Here].
    

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

    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.