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.
Creates a safe environment for idea-sharing.
Solves problems with insight and understanding.
Creates improved methods or solutions for meeting goals and objectives.
Finds creative ways to get things done with limited resources.
Goals	Agree	Unsure	Disagree	N/A
Makes sure that team members have a clear idea of our group's goals.
Goal Setting
Achieves goals.
Sets high expectations and goals; encourages others to support the organization.
Makes sure that I have a clear idea of our group's goals.
Results Oriented	Agree	Unsure	Disagree	N/A
Is a high achiever.
Is considered a high achiever.
Strives to exceed performance benchmarks.
Sets a common goals for the team.
Achieves high levels of performance.
Excellence	Agree	Unsure	Disagree	N/A
Keeps themselves and others focused on constant improvement.
Can be counted on to add value wherever they are involved.
Demonstrates the analytical skills to do their job.
Demonstrates the functional or technical skills necessary to do their job.
Takes a lot of pride in their work.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Keeps commitments made with coworkers.
Assists employees that need help.
Builds strong relationships with team members.
Strives to lead by example to demonstrate the value of interpersonal relationships.
Expresses appreciation of other's work.
Customer Focus	Agree	Unsure	Disagree	N/A
Has excellent communication with customers.
Provides excellent service to customers.
Responds to the needs of the customer.
Sets an example for excellent customer relations.
Creates high quality products for the customers.
Partnering/Networking	Agree	Unsure	Disagree	N/A
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Seeks to reduce institutional roadblocks to information sharing.
Supports a partnering/networking culture.
Promotes the understanding of how the department affects the organization overall.
Maintains infrastructure to support partnerships and networks.
Business Acumen	Agree	Unsure	Disagree	N/A
Anticipates marketplace opportunities and supports speed to market.
Interprets data to make informed business decisions.
Can effectively interpret and analyze market data.
Understands cash flow procedures and statements.
Identifies potential regulatory risks and strategies to mitigate them.
Strategic Insight	Agree	Unsure	Disagree	N/A
Implements long-term solutions to problems.
Develops a strategic vision for the future.
Works with others to develop insights into the resources and actions required to produce desired results.
Creates a vision for the organization based on insights gathered from other companies in the industry.
Analyzes unique issues or problems impacting the Company.
Planning	Agree	Unsure	Disagree	N/A
Always has a "Plan-B" ready if needed.
Determines what supplies/equipment will be needed for the job.
Develops effective plans to deal with unforeseen circumstances.
Develops proper plans to ensure seamless flow of materials through logistics.
Assesses the potential impact of changes to the strategic plan.
Continual Improvement	Agree	Unsure	Disagree	N/A
Looks for ways to expand and learn new job skills.
Open to the suggestions from others.
Looks for ways to improve work processes and procedures.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Analyzes processes to determine areas for improvement.
Punctuality	Agree	Unsure	Disagree	N/A
Arrives to meetings on time.
Responds to requests for information in a timely manner.
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
Has excellent influencing/negotiating skills.
Seeks to obtain consensus or compromise.
Able to express own goals and needs.
Attempts to persuade others rather than simply control them.
Persuades others to consider alternative points of view.

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.