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
Searches for opportunities and innovative ways to improve the organization.
Solves problems with insight and understanding.
Analyzes current procedures and identifies opportunities for improvement.
Implements best practices within the department.
Offers constructive improvements to existing systems.
Goals	Agree	Unsure	Disagree	N/A
Goal Setting
Conducts timely follow-up; keeps others informed on a need to know basis.
Achieves goals.
Establishes and documents goals and objectives.
Makes sure that I have a clear idea of our group's goals.
Results Oriented	Agree	Unsure	Disagree	N/A
Explains the "whys" behind organizational objectives
Does not become distracted by non-issues or interruptions.
Stays focused on meeting the needs of customers.
Directs team in prioritizing daily work activities
Provides clear expectations for employees.
Excellence	Agree	Unsure	Disagree	N/A
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
Keeps themselves and others focused on constant improvement.
Takes a lot of pride in their work.
Demonstrates the analytical skills to do their job.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Uses knowledge and charisma rather than position, power, or coercion to influence others
Values the opinions of others.
Anticipates the concerns of other employees.
Effectively manages conflicts by dealing with them directly and immediately
Demonstrates willingness to work with others.
Customer Focus	Agree	Unsure	Disagree	N/A
Is aware of what the customer wants to receive.
Regularly receives positive feedback from customers.
Uses customer feedback to help improve products and services.
Ensures customers' expectations are met or exceeded.
Adapts to changes proposed by the customer.
Partnering/Networking	Agree	Unsure	Disagree	N/A
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Supports a partnering/networking culture.
Supports and encourages relationships that are created by diverse team members.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Collaborates with others to accomplish goals and objectives.
Business Acumen	Agree	Unsure	Disagree	N/A
Maintains currency with laws, regulations, policies, procedures, trends, and developments.
Views problems from a business perspective, opportunity, investment, risks, and anticipated results
Creates strategic plans that conform with regulations and industry guidelines.
Understands our competitors and their strengths and weaknesses.
Keeps informed of current income and expenses.
Strategic Insight	Agree	Unsure	Disagree	N/A
Communicates vision for the department and company.
Maintains knowledge of current trends in the industry.
Anticipates business cycles and trends and makes adjustments in a timely manner.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Identifies root causes of problems.
Planning	Agree	Unsure	Disagree	N/A
Develops a strategic plan to reduce costs in the department.
Determines the appropriate actions needed to achieve goals.
Adjusts plans as needed according to situational/strategic changes.
Anticipates resources needed to successfully implement a plan or project.
Regularly makes plans for contingencies.
Continual Improvement	Agree	Unsure	Disagree	N/A
Promotes training and development opportunities to enhance job performance.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Looks for ways to expand and learn new job skills.
Looks for ways to expand current job responsibilities.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Punctuality	Agree	Unsure	Disagree	N/A
Responds to requests for information in a timely manner.
Invoices clients on a timely basis.
Starts the workday when scheduled.
Avoids making personal phone calls during working hours.
Maintains an efficient schedule of activities.
Persuasion and Influence	Agree	Unsure	Disagree	N/A
Understanding what others need.
Able to express own goals and needs.
Communicates effectively with others.
Persuades others to consider alternative points of view.
Seeks to obtain consensus or compromise.

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.