Feedback - 360 Degree Feedback Survey Sample #13

Instructions

You have been selected to provide valuable feedback for the manager listed above. Your insights are an important part of [Participant]'s leadership development process. This tool is designed to gather broad and comprehensive feedback on the core competencies and role responsibilities that are crucial for the continuous success of our organization.

When responding to the assessment form, please consider your experiences working with this individual over the past six to twelve months. Reflect on specific instances, interactions, and overall performance that you have observed. Your responses will be combined with feedback from other colleagues to create a holistic view of the manager's strengths and areas for improvement. This collective feedback will be used to guide their ongoing professional development.

Please be candid and constructive in your comments, as they will be shared anonymously with the manager. Your feedback will be instrumental in helping them understand their impact on the team and the organization, and in identifying opportunities for growth. We appreciate your time and effort in contributing to this important process.

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	Strongly Disagree	Disagree	Agree	Strongly Agree
Looks to others for input.
Is visible and approachable.
Shares past experiences with others as learning opportunities.
Accepts the views of others.
Seeks feedback to enhance performance.
Open to the suggestions of others.
Considers other's opinion and suggestions.
Actively seeks feedback from others.
Is easy to approach with ideas and opinions.
Self Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Consciously controls own negative emotions in order to keep team morale up.
Steps away from a situation to process appropriate response.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Does not allow own emotions to interfere with the performance of others.
Persuasion and Influence	Strongly Disagree	Disagree	Agree	Strongly Agree
Understanding what others need.
Develops a good rapport with others.
Communicates effectively with others.
Persuades others to consider alternative points of view.
Ensures stakeholders are involved in the decision making process.
Goals	Strongly Disagree	Disagree	Agree	Strongly Agree
Makes sure that I have a clear idea of our group's goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Establishes and documents goals and objectives.
Understands & contributes to development of strategic goals.
Sets high expectations and goals; encourages others to support the organization.
Collaboration	Strongly Disagree	Disagree	Agree	Strongly Agree
Rewards collaborative efforts of team members.
Displays a high degree of trust and credibility.
Respects other group/team members.
Makes decisions with other members of the group.
Promotes a culture of collaboration rather than rivalry.
Client Focus	Strongly Disagree	Disagree	Agree	Strongly Agree
Delivers customized solutions for each client.
Engages with clients on multiple levels.
Delivers on commitments made to clients.
Is competent in handling difficult clients.
Uses feedback from the client to help improve the client's experience.
Others	Strongly Disagree	Disagree	Agree	Strongly Agree
Supports the efforts of other employees in implementing solutions to problems.
Is able to see issues from others' perspectives.
Consistently demonstrates ability and willingness to trust others.
Able to see issues from others' perspectives.
Constructively receives criticism and suggestions from others.
Organizational Fluency	Strongly Disagree	Disagree	Agree	Strongly Agree
Anticipates problems that may affect the department.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Able to deal with sensitive issues with tact and professionalism.
Understands the current organizational culture.
Adept at navigating within the culture of the department.

45. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
46. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
47. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.