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
Is visible and approachable.
Seeks feedback to enhance performance.
Shares past experiences with others as learning opportunities.
Considers other's opinion and suggestions.
Actively seeks feedback from others.
Continual Learning	Agree	Unsure	Disagree	N/A
Takes charge of their training and skills enhancement.
Sets relevant learning objectives and goals.
Improves on their skill sets.
Pursues learning that will enhance job performance.
Views setbacks as opportunities to learn from.
Professional Development	Agree	Unsure	Disagree	N/A
Seeks opportunities for professional development.
Seeks opportunities for continuous learning.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Allows employees to fully participate in employee training and professional development.
Contributing fully to the extent of their skills
Management	Agree	Unsure	Disagree	N/A
Takes responsibility for things that go wrong
Is ready to offer help
Delegate tasks effectively
Sets an example for others to follow
Makes you feel enthusiastic about your work
Persuasion and Influence	Agree	Unsure	Disagree	N/A
Ensures stakeholders are involved in the decision making process.
Understanding what others need.
Seeks to obtain consensus or compromise.
Able to express own goals and needs.
Attempts to persuade others rather than simply control them.
Innovation	Agree	Unsure	Disagree	N/A
Suggests new ideas at meetings.
Develops new products and services.
Analyzes current procedures and identifies opportunities for improvement.
Encourages open communication to ensure that all proposals are considered.
Creates a safe environment for idea-sharing.
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.
Demonstrates the analytical skills to do their job.
Produces high quality work.
Takes a lot of pride in their work.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Creates an atmosphere that supports the open expression of ideas
Demonstrates good communication with colleagues and customers.
Is trusted by peers and co-workers; others are willing to confide in him/her
Gives credit where credit is due.
Follows up on inquiries in a timely manner.
Negotiation	Agree	Unsure	Disagree	N/A
Is aware of the needs of the other party.
Takes steps to control emotional responses to avoid making rash decisions.
Firmly believes the company is making the best offer.
Actively listens to conversations to be able to recall important details later.
Persuades the other party of the benefits of our proposals.
Strategic Focus	Agree	Unsure	Disagree	N/A
Develops a strategic plan for adapting the organization to better respond to external changes in the marketplace.
Looks for opportunities to enhance contributions to the bottom line.
Aligns cross-functional teams to the strategic plan.
Identifies and understands competitors in the marketplace.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Planning	Agree	Unsure	Disagree	N/A
Able to balance the needs of multiple stakeholders in developing the plan for the division.
Develops a detailed plan outlining tasks, resources, timelines, and deliverables.
Sets the appropriate sequence of tasks to ensure completion of the project.
Notifies staff when the plan is not on schedule.
Adjusts and rearranges the schedule to maximize efficiency.

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.