Feedback - 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 .

Feedback	Agree	Unsure	Disagree	N/A
Asks others for their ideas and opinions.
Shares past experiences with others as learning opportunities.
Accepts the views of others.
Is visible and approachable.
Is easy to approach with ideas and opinions.
Continual Learning	Agree	Unsure	Disagree	N/A
Shares best practices with others and learns from others.
Pursues self-improvement through continual learning.
Sets relevant learning objectives and goals.
Builds on their strengths while addressing their weaknesses.
Grasps new ideas, concepts, technical, or business knowledge.
Professional Development	Agree	Unsure	Disagree	N/A
Encourages employees to take courses relevant to their job.
Quickly acquire and apply new knowledge and skills when needed
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Seeks opportunities for professional development.
Contributing fully to the extent of their skills
Management	Agree	Unsure	Disagree	N/A
Makes you feel enthusiastic about your work
Takes responsibility for things that go wrong
Sets an example for others to follow
Delegate tasks effectively
Is ready to offer help
Persuasion and Influence	Agree	Unsure	Disagree	N/A
Persuades others to consider alternative points of view.
Attempts to persuade others rather than simply control them.
Able to express own goals and needs.
Has excellent influencing/negotiating skills.
Communicates effectively with others.
Innovation	Agree	Unsure	Disagree	N/A
Offers constructive improvements to existing systems.
Implements best practices within the department.
Suggests new ideas at meetings.
Analyzes current procedures and identifies opportunities for improvement.
Builds upon the ideas and solutions of others.
Excellence	Agree	Unsure	Disagree	N/A
Takes a lot of pride in their work.
Keeps themselves and others focused on constant improvement.
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.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Able to work with individuals at all levels of the Company.
Adapts management style to meet the needs of the individual or situation.
Strives for win/win solutions
Provides constructive feedback in a way that fosters acceptance and development.
Applies appropriate communication techniques to the situation.
Negotiation	Agree	Unsure	Disagree	N/A
Is able to decline bad ideas to avoid making poor decisions.
Influences others through rational argument and persuasion.
Able to say "no" when it is essential to maintaining quality and high standards.
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Strategic Focus	Agree	Unsure	Disagree	N/A
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Looks for opportunities to enhance contributions to the bottom line.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Understands & contributes to development of strategic goals.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Planning	Agree	Unsure	Disagree	N/A
Able to identify the needs of the department before a major change.
Works in an organized manner
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Anticipates obstacles and ways to overcome them.

56. Overall, please rate the effectiveness of .
    

    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 's assessment.