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
Shares past experiences with others as learning opportunities.
Asks others for their ideas and opinions.
Actively seeks feedback from others.
Is visible and approachable.
Open to the suggestions of others.
Continual Learning	Agree	Unsure	Disagree	N/A
Builds on their strengths while addressing their weaknesses.
Sets relevant learning objectives and goals.
Takes the initiative to learn new skills.
Seeks opportunities to grow in skills and knowledge.
Shares best practices with others and learns from others.
Professional Development	Agree	Unsure	Disagree	N/A
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
Quickly acquire and apply new knowledge and skills when needed
Encourages employees to take courses relevant to their job.
Management	Agree	Unsure	Disagree	N/A
Makes you feel enthusiastic about your work
Delegate tasks effectively
Sets an example for others to follow
Is ready to offer help
Takes responsibility for things that go wrong
Persuasion and Influence	Agree	Unsure	Disagree	N/A
Develops a good rapport with others.
Understanding what others need.
Communicates effectively with others.
Ensures stakeholders are involved in the decision making process.
Attempts to persuade others rather than simply control them.
Innovation	Agree	Unsure	Disagree	N/A
Builds upon the ideas and solutions of others.
Finds creative ways to get things done with limited resources.
Suggests new ideas at meetings.
Challenges current procedures to develop other alternatives.
Analyzes current procedures and identifies opportunities for improvement.
Excellence	Agree	Unsure	Disagree	N/A
Is planful and organized.
Can be counted on to add value wherever they are involved.
Produces high quality work.
Demonstrates the analytical skills to do their job.
Takes a lot of pride in their work.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Comes across as credible, knowledgeable and sincere
Creates an atmosphere that supports the open expression of ideas
Successfully resolves conflicts and grievances to a win-win solution.
Able to work with individuals at all levels of the Company.
Strives for win/win solutions
Negotiation	Agree	Unsure	Disagree	N/A
Establishes good working relationships with others.
Establishes clear communications to avoid misunderstandings.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Able to influence others to accept certain positions.
Stays calm and focuses on the core issues to be discussed.
Strategic Focus	Agree	Unsure	Disagree	N/A
Looks for opportunities to enhance contributions to the bottom line.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Able to decline a poor strategy by proposing alternate strategies.
Planning	Agree	Unsure	Disagree	N/A
Ensures staff have the supplies and resources necessary to enact the plan.
Prioritizes tasks and allocates resources.
Is good at planning for the "unexpected".
Prioritizes tasks based on urgency/need.
Assigns the right tasks to the right people and holds them accountable.

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.