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 .

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Feedback	Agree	Unsure	Disagree	N/A
Embraces feedback with a growth mindset.
Summarizes or paraphrases the feedback to confirm your understanding.
Bases feedback on observable facts and behaviors, not personal opinions or emotions.
Seeks feedback to enhance performance.
Seeks feedback from team members, senior leaders, and external stakeholders.
Continual Learning	Agree	Unsure	Disagree	N/A
Builds on their strengths while addressing their weaknesses.
Pursues learning that will enhance job performance.
Pursues professional development opportunities when they arise.
Grasps new ideas, concepts, technical, or business knowledge.
Views setbacks as opportunities to learn from.
Professional Development	Agree	Unsure	Disagree	N/A
Quickly acquire and apply new knowledge and skills when needed
Seeks opportunities for continuous learning.
Encourages employees to take courses relevant to their job.
Contributing fully to the extent of their skills
Keep themselves up-to-date of technical/professional issues
Management	Agree	Unsure	Disagree	N/A
Identifies areas for growth and recommends concrete actions to address them.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Outlines the key measures for the project.
Works with employees to identify growth areas and create actionable development plans.
Creates growth opportunities for employees.
Persuasion and Influence	Agree	Unsure	Disagree	N/A
Defends the long-term vision against short-term pressures that compromise integrity or purpose.
Coordinates with allies in advance to ensure messaging is reinforced by trusted voices.
Confronts individuals with information about their beliefs and values.
Frames difficult feedback or challenges in terms of observed behaviors and verifiable impact.
Develops key messages and timing to maximize receptivity and impact across different stakeholders.
Innovation	Agree	Unsure	Disagree	N/A
Prioritizes technical skill development among employees to foster a culture of innovation and creativity.
Offers continuous learning opportunities to enhance technical skills and innovative thinking.
Participates in cross-functional innovation teams.
Regularly audits the company's innovation effectiveness.
Discovers alternative methods for production.
Excellence	Agree	Unsure	Disagree	N/A
Takes a lot of pride in their work.
Demonstrates the analytical skills to do their job.
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.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Effectively manages conflicts by dealing with them directly and immediately
Embraces the differences in individuals that comprise the team.
Is a role model for others demonstrating the importance of interpersonal skills.
Builds strong relationships with team members.
Honest about owning up to mistakes made.
Negotiation	Agree	Unsure	Disagree	N/A
Ensures a thorough understanding of key issues and priorities.
Alters plans to respond to immediate challenges.
Is resolute in positions to better withstand pressure and resist making hasty concessions.
Is aware of the needs of the other party.
Uses the motivations of each party to identify mutually advantageous solutions.
Strategic Focus	Agree	Unsure	Disagree	N/A
Ensures the department has a viable strategy for moving forward.
Makes quick and creative decisions to adjust the strategy to meet the demands of changing situations.
Develops a strategic plan for adapting the organization to better respond to external changes in the marketplace.
Develops a corporate strategy to establish business operations in different locations.
Understands the importance of developing strategic capabilities.
Planning	Agree	Unsure	Disagree	N/A
Encourages others to follow the plan.
Able to develop logistics plans to move material through a multi-step supply chain.
Determines the allocation of funds based on plans for future development.
Always has a "Plan-B" ready if needed.
Creates plans to handle complex, multi-faceted projects.

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.