Flexibility - 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 .

Flexibility	Agree	Unsure	Disagree	N/A
Is open to alternative ways to accomplish goals
Encourages others to adopt new procedures.
Willing to try new ideas.
Acts decisively in frequently changing and uncertain environment.
Works effectively during periods of change.
Self Management	Agree	Unsure	Disagree	N/A
Uses patience and self-control in working with customers and associates.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Consciously controls own negative emotions in order to keep team morale up.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Cultural Awareness	Agree	Unsure	Disagree	N/A
Is willing to include individuals with different cultural backgrounds on the team.
Understands the impact that our culture may have on interactions between individuals.
Willing to work with employees who have different cultural backgrounds.
Is curious and willing to ask questions about the cultural differences in the workplace.
Communicates with others without the influence of racism.
Analytical	Agree	Unsure	Disagree	N/A
Identifies opportunities for progress and innovation.
Selects the appropriate techniques for analysis.
Balances risks and costs with the rewards and probabilities of success when decisions.
Prioritizes various actions to be taken when solving a problem.
Identifies the root cause of a problem.
Time Management	Agree	Unsure	Disagree	N/A
Approaches work with a sense of urgency.
Ensures timely completion of critical assignments.
Prioritizes high value tasks at work.
Uses a calendar effectively to keep track of when events or milestones are supposed to occur.
Is prompt and diligent in their work.
Clarity	Agree	Unsure	Disagree	N/A
Is clear about the roles and duties of team members.
Avoids stating unclear or conflicting goals.
Clearly defines work objectives for employees.
Provides a clear vision for the future.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Trustworthy	Agree	Unsure	Disagree	N/A
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Consistently keeps commitments.
Demonstrates a sense of responsibility and commitment to public trust.
Delivers on promises made.
Works in a way that makes others want to work with her/him.

36. Overall, please rate the effectiveness of [Participant Name Here].
    

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

    
    
37. Strengths
    
    
    
38. Areas for Development
    
    
    
39. Please give any final comments or suggestions for [Participant Name Here]'s assessment.