Initiative - 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 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 .

Initiative	Agree	Unsure	Disagree	N/A
Engages with new customers immediately.
Takes action without being asked.
Acts quickly when an opportunity becomes available.
Guides strategic initiatives to advance the department/organization.
Takes on extra projects after required work is completed.
Change Management	Agree	Unsure	Disagree	N/A
Inspires others to want to change.
Is a leading force driving changes.
Develops plans for following through on the changes.
Supports the Company's efforts to implement changes.
Works cooperatively with others to implement changes.
Flexibility	Agree	Unsure	Disagree	N/A
Responds to changing availability of supplies and resources.
Is flexible in responding to customer needs.
Able to adapt and tailor approaches based on the unique requirements of each scenario.
Willing to deviate from rigid plans and consider a variety of methods, ensuring the most effective solution is applied.
Flexible and resilient in addressing critical incidents.
Bias for Action	Agree	Unsure	Disagree	N/A
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Conveys a sense of urgency about addressing problems and opportunities
Displays high energy and enthusiasm on consistent basis.
Motivates others to achieve or exceed goals
Seeks and utilizes opportunities for continuous learning and self-development.
Self Management	Agree	Unsure	Disagree	N/A
Does not allow own emotions to interfere with the performance of others.
Consciously controls own negative emotions in order to keep team morale up.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Uses patience and self-control in working with customers and associates.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Continual Learning	Agree	Unsure	Disagree	N/A
Seeks opportunities to grow in skills and knowledge.
Shares best practices with others and learns from others.
Is open to new ideas and concepts.
Participates in regular training offered.
Takes charge of their training and skills enhancement.
Feedback	Agree	Unsure	Disagree	N/A
Is visible and approachable.
Considers other's opinion and suggestions.
Actively seeks feedback from others.
Open to the suggestions of others.
Asks others for their ideas and opinions.
Technical	Agree	Unsure	Disagree	N/A
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Willingly shares his/her technical expertise; sought out as resource by others
Is knowledgeable of procedures or systems necessary for the job.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Seeks information from others as needed.
Objectives	Agree	Unsure	Disagree	N/A
Works toward achieving established goals and objectives.
Encourages me to take on greater responsibility.
Consistently provides me with timely feedback for improving my performance.
Effectively organizes resources and plans
Able to organize work.
Responsible	Agree	Unsure	Disagree	N/A
Behavior is ethical and honest.
Works in a way that makes others want to work with her/him.
Is a person you can trust.
Holds herself / himself accountable to goals / objectives
Completes assigned work tasks.
Partnering/Networking	Agree	Unsure	Disagree	N/A
Enters into licensing agreements to share intellectual property.
Develops key business contacts at other companies.
Networks with clients to determine improvements in operations.
Invests in other companies to form equity partnerships.
Facilitates communication with others in the company.
Strategic Focus	Agree	Unsure	Disagree	N/A
Identifies areas where return on investment can be improved.
Develops a strategic plan for adapting the organization to better respond to external changes in the marketplace.
Coordinates the implementation of the strategy with stakeholders.
Identifies business strategies to strengthen competitive capabilities.
Identifies strengths that competitors would have trouble imitating.

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

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

    
    
62. Strengths
    
    
    
63. Areas for Development
    
    
    
64. Please give any final comments or suggestions for [Participant Name Here]'s assessment.