Initiative - 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.



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Initiative	Strongly Disagree	Disagree	Agree	Strongly Agree
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Able to initiate work on projects independently without direct supervision.
Cleans the workspace without being told.
Immediately works on solving problems.
Takes the initiative to complete tasks ahead of schedule.
Seeks and utilizes opportunities for continuous learning and self-development.
Acts independently to solve pressing needs.
Initiates draft reports for consideration.
Immediately informs the supervisor of any critical incidents.
Achievement	Strongly Disagree	Disagree	Agree	Strongly Agree
Completes work to given time frame and to budget
Makes use of talents of others to help achieve a high level of performance.
Highly motivated to achieve or exceed performance standards.
Completes work to a high technical standard
Is flexible in adjusting priorities to meet the demands of changing situations.
Bias for Action	Strongly Disagree	Disagree	Agree	Strongly Agree
Encourages risk taking and experimentation to improve performance
Identifies ways to simplify work processes and reduce cycle times
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Completes a large volume of work.
Motivates others to achieve or exceed goals
Collaboration	Strongly Disagree	Disagree	Agree	Strongly Agree
Encourages team members to offer opinions and ideas.
Builds strong interpersonal relationships for more effective collaboration.
Builds consensus among partners.
Uses digital tools to support collaborative efforts in document creation?
Builds relationships with suppliers to improve communications and reduce misunderstandings and delays.
Fiscal Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Develops budgets and plans for various programs and initiatives.
Ensures others follow the correct rules and regulations on fiscal matters.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Provides budgeting and accounting support to the Company.
Keeps excellent records for financial transparency.
Passion To Learn	Strongly Disagree	Disagree	Agree	Strongly Agree
Is open minded and curious about learning new skills.
Embraces new technology and procedures.
Takes advantage of training opportunities when they arise.
Demonstrates through personal behavior the commitment to high standards of performance.
Is open to feedback from others.
Attitude	Strongly Disagree	Disagree	Agree	Strongly Agree
Shows by their actions that they trust in the positive intentions of others.
Works to eliminate unnecessary work or barriers that get in others' way.
Is gracious and professional in their interactions with others.
Builds open and trusting relationships.
Treats all people fairly and with respect.
Performance	Strongly Disagree	Disagree	Agree	Strongly Agree
Listens and responds to issues and problems
Sets a high standard for job performance.
Able to organize work.
Works well in this position.
Effective in performing his/her job.

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.