Global Perspective- 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 .

Global Perspective	Agree	Unsure	Disagree	N/A
Engages in problem solving with individuals outside of the country.
Considers customers point of view when making decisions.
Able to listen and understand others and discuss issues in a respectful way.
Facilitates open communication with individuals from other countries.
Is aware of the culture, behaviors, identities and beliefs of others.
Conflict Management	Agree	Unsure	Disagree	N/A
Able to settle disputes equitably.
Identifies areas of agreement and common ground to form basis of resolution.
Possesses the necessary skills to manage conflict and relationships.
Seeks to develop a shared understanding of the issues involved.
Prevents minor issues from escalating into major problems.
Teamwork	Agree	Unsure	Disagree	N/A
Makes sure each team member participates in the task.
Committed to the successful completion of team goals.
Fosters an environment that promotes active listening on the team.
Effective team player
Applies knowledge of team behavior to help achieve organizational goals and objectives.
Accountability	Agree	Unsure	Disagree	N/A
Sets clear expectations for performance.
Takes personal responsibility for the quality of their work.
Informs supervisor of progress without having to be asked about it.
Takes ownership of problems to find the best solutions.
Accepts the consequences for their actions.
Passion To Learn	Agree	Unsure	Disagree	N/A
Takes advantage of training opportunities when they arise.
Holds self and associates accountable for goal achievement.
Creates an environment that supports personal development and exploration.
Constantly enhances product knowledge through experimentation and play.
Enhances value to the company through additional training and development.
Emotional Intelligence	Agree	Unsure	Disagree	N/A
Able to understand others' points of view.
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to manage their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to express themselves clearly.
Management	Agree	Unsure	Disagree	N/A
Is ready to offer help
Takes responsibility for things that go wrong
Delegate tasks effectively
Makes you feel enthusiastic about your work
Sets an example for others to follow
Excellence	Agree	Unsure	Disagree	N/A
Keeps themselves and others focused on constant improvement.
Demonstrates the functional or technical skills necessary to do their job.
Demonstrates the analytical skills to do their job.
Can be counted on to add value wherever they are involved.
Takes a lot of pride in their work.
Trustworthy	Agree	Unsure	Disagree	N/A
Delivers on promises made.
Works in a way that makes others want to work with her/him.
Demonstrates congruence between statements and actions.
Consistently keeps commitments.
Takes ownership, delivers on commitments

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

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

    
    
47. Strengths
    
    
    
48. Areas for Development
    
    
    
49. Please give any final comments or suggestions for [Participant Name Here]'s assessment.