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 .

Edit this Survey

Would you like to edit this survey? Click here to begin.

Feedback	Agree	Unsure	Disagree	N/A
Actively seeks feedback from others.
Is easy to approach with ideas and opinions.
Asks others for their ideas and opinions.
Seeks feedback to enhance performance.
Shares past experiences with others as learning opportunities.
Continual Learning	Agree	Unsure	Disagree	N/A
Sets relevant learning objectives and goals.
Grasps new ideas, concepts, technical, or business knowledge.
Takes charge of their training and skills enhancement.
Builds on their strengths while addressing their weaknesses.
Is open to new ideas and concepts.
Professional Development	Agree	Unsure	Disagree	N/A
Quickly acquire and apply new knowledge and skills when needed
Seeks opportunities for continuous learning.
Allows employees to fully participate in employee training and professional development.
Contributing fully to the extent of their skills
Keep themselves up-to-date of technical/professional issues
Management	Agree	Unsure	Disagree	N/A
Keep staff informed about what is happening in the company
Is ready to offer help
Sets an example for others to follow
Takes responsibility for things that go wrong
Delegate tasks effectively
Persuasion and Influence	Agree	Unsure	Disagree	N/A
Seeks to obtain consensus or compromise.
Develops a good rapport with others.
Communicates effectively with others.
Able to express own goals and needs.
Attempts to persuade others rather than simply control them.
Innovation	Agree	Unsure	Disagree	N/A
Creates a safe environment for idea-sharing.
Generates innovative and practical solutions.
Prioritizes disruptive innovation to achieve substantial growth and maintain a competitive edge in the marketplace.
Generates innovative and practical ideas and approaches.
Establishes priorities and allocates resources to support innovation.
Excellence	Agree	Unsure	Disagree	N/A
Demonstrates the functional or technical skills necessary to do their job.
Keeps themselves and others focused on constant improvement.
Produces high quality work.
Is planful and organized.
Can be counted on to add value wherever they are involved.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Works diligently to assist customers in finding the right products.
Uses tact, compassion, and sensitivity in interactions with others.
Values the opinions of others.
Responds quickly to inquiries from potential customers.
Is honest about making mistakes and willing to fix them.
Negotiation	Agree	Unsure	Disagree	N/A
Able to express themselves in a clear, convincing, and logical manner.
Maximizes information gathering efforts prior to negotiations.
Firmly believes the company is making the best offer.
Identifies verbal and nonverbal cues to help interpret actions and messages.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Strategic Focus	Agree	Unsure	Disagree	N/A
Undertakes a SWOT analysis to determine the best strategy to move forward.
Maintains strategic focus by regularly reviewing the strategic plan and taking corrective actions as needed to stay on track.
Creates a mission statement describing the purpose for the organization.
Identifies strengths that competitors would have trouble imitating.
Effectively translates strategy into operational decisions.
Planning	Agree	Unsure	Disagree	N/A
Makes strategic and tactical decisions to guide the logistics process.
Ensures everyone in the department is onboard with the current plan.
Notifies staff when the plan is not on schedule.
Always has a "Plan-B" ready if needed.
Effectively uses logistics planning to reduce supply delays.

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.