Innovation - 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 .

Innovation	Agree	Unsure	Disagree	N/A
Challenges current procedures to develop other alternatives.
Takes risks to advance important ideas.
Searches for opportunities and innovative ways to improve the organization.
Builds upon the ideas and solutions of others.
Analyzes current procedures and identifies opportunities for improvement.
Goals	Agree	Unsure	Disagree	N/A
Achieves goals.
Establishes and documents goals and objectives.
Makes sure that I have a clear idea of our group's goals.
Makes sure that team members have a clear idea of our group's goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Results Oriented	Agree	Unsure	Disagree	N/A
Promptly and efficiently completes assigned tasks.
Does not become distracted by non-issues or interruptions.
Determines the best approach to achieving the expected results.
Produces a high volume of work.
Focuses on achieving important goals.
Excellence	Agree	Unsure	Disagree	N/A
Demonstrates the analytical skills to do their job.
Keeps themselves and others focused on constant improvement.
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
Takes a lot of pride in their work.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Promotes acceptance of diverse viewpoints from team members.
Sees values in the diversity of individuals on the team.
Communicates well at all levels of the organization.
Creates diverse teams of individuals with different backgrounds, skills, and abilities.
Is a highly respected individual in the company.
Customer Focus	Agree	Unsure	Disagree	N/A
Fulfills commitments made to customers.
Understands the needs of the customer.
Gives feedback to the customer regularly.
Sets an example for excellent customer relations.
Identifies the core needs of the customer.
Partnering/Networking	Agree	Unsure	Disagree	N/A
Uses informal networks to share information.
Seeks to increase exchanges of information with other companies/colleagues.
Ensures all participants in the network are treated fairly and equitably.
Develops trust in others to form partnerships and networks.
Develops alliances with colleagues at other companies.
Business Acumen	Agree	Unsure	Disagree	N/A
Considers impact of actions on other areas of the organization.
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Understands the costs, profits, markets, and added value of issues.
Understands business fundamentals and practices.
Aware of regulations that impact our business.
Strategic Insight	Agree	Unsure	Disagree	N/A
Lets employees know how their roles contribute toward the achievement of strategic company objectives.
Creates a mission statement describing the purpose for the organization.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Creates a vision for the organization based on insights gathered from other companies in the industry.
Ensures that the department's goals are strategically aligned with the company's goals.
Planning	Agree	Unsure	Disagree	N/A
Allows input from others for the 5-year plan.
Anticipates obstacles and ways to overcome them.
Identifies resource requirements that may impact the development of the 5-year plan.
Analyzes market trends to plan the best course of action.
Notifies staff when the plan is not on schedule.
Continual Improvement	Agree	Unsure	Disagree	N/A
Looks for ways to expand and learn new job skills.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Looks for ways to expand current job responsibilities.
Analyzes processes to determine areas for improvement.
Punctuality	Agree	Unsure	Disagree	N/A
Maintains an efficient schedule of activities.
Starts meetings on time.
Responds to requests for information in a timely manner.
Starts the workday when scheduled.
Conducts appointments at scheduled start time.
Persuasion and Influence	Agree	Unsure	Disagree	N/A
Attempts to persuade others rather than simply control them.
Develops a good rapport with others.
Persuades others to consider alternative points of view.
Ensures stakeholders are involved in the decision making process.
Able to express own goals and needs.

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

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

    
    
67. Strengths
    
    
    
68. Areas for Development
    
    
    
69. Please give any final comments or suggestions for [Participant Name Here]'s assessment.