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 .

Feedback	Strongly Disagree	Disagree	Agree	Strongly Agree
Asks others for their ideas and opinions.
Open to the suggestions of others.
Is easy to approach with ideas and opinions.
Seeks feedback to enhance performance.
Accepts the views of others.
Looks to others for input.
Is visible and approachable.
Shares past experiences with others as learning opportunities.
Actively seeks feedback from others.
Self Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Steps away from a situation to process appropriate response.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Consciously controls own negative emotions in order to keep team morale up.
Does not allow own emotions to interfere with the performance of others.
Uses patience and self-control in working with customers and associates.
Persuasion and Influence	Strongly Disagree	Disagree	Agree	Strongly Agree
Has excellent influencing/negotiating skills.
Seeks to obtain consensus or compromise.
Able to express own goals and needs.
Develops a good rapport with others.
Understanding what others need.
Goals	Strongly Disagree	Disagree	Agree	Strongly Agree
Achieves goals.
Achieves established goals.
Sets high expectations and goals; encourages others to support the organization.
Goal Setting
Makes sure that team members have a clear idea of our group's goals.
Collaboration	Strongly Disagree	Disagree	Agree	Strongly Agree
Defines shared goals with the committee members.
Has the confidence and trust of other partners.
Participates in the team's deliberations.
Views others as valued partners.
Ensures that all members are aligned and motivated, contributing to a cohesive and productive team dynamic.
Client Focus	Strongly Disagree	Disagree	Agree	Strongly Agree
Is committed to resolving client issues in a positive way.
Ensures commitments made to clients are completed to the client's satisfaction.
Is committed to the success of the client.
Forms strong client relationships
Creates high quality products for the clients.
Others	Strongly Disagree	Disagree	Agree	Strongly Agree
Treats others with respect and dignity.
Respects the opinions of other employees.
Helpful
Includes others in the decision making processes.
Able to see issues from others' perspectives.
Organizational Fluency	Strongly Disagree	Disagree	Agree	Strongly Agree
Effective in communicating with others within the organization.
Able to use corporate politics to advance department objectives.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Able to explain departmental policies and procedures to others.
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.