Integrity - 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 .

Integrity	Agree	Unsure	Disagree	N/A
Does what was promised.
Fosters a high standard of ethics and integrity.
Fosters an environment built upon trust.
Develops trust and confidence from others.
Follows tasks to completion.
Continual Improvement	Agree	Unsure	Disagree	N/A
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Promotes training and development opportunities to enhance job performance.
Open to the suggestions from others.
Looks for ways to improve work processes and procedures.
Analyzes processes to determine areas for improvement.
Supervisory Skills	Agree	Unsure	Disagree	N/A
Has a high degree of multi-cultural competence to supervise individuals of various cultural backgrounds.
Promotes teamwork and cooperation within the department.
Empowers employees to perform the assigned tasks.
Leads others through their commitment to the department.
Has a strong work ethic that inspires others.
Delegation	Agree	Unsure	Disagree	N/A
Entrusts subordinates with important tasks.
Allows subordinates to use their own methods and procedures.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Clearly defines duties and tasks to be completed.
Assigns tasks to create learning opportunities for the employees.
Quality	Agree	Unsure	Disagree	N/A
Views quality issues as a system failure rather than an individual failure.
Addresses barriers to successfully implementing quality standards.
Is innovative and creative in response to issues involving quality of the products.
Implements quality control feedback loops to enhance services and products.
Quickly addresses changes in quality of the products.
Change Management	Agree	Unsure	Disagree	N/A
Assists others in understanding changes to the organization.
Able to get department employees to accept new changes.
Works cooperatively with others to implement changes.
Facilitates change with minimal resistance.
Addresses organizational and departmental resistance to changes.
Client Focus	Agree	Unsure	Disagree	N/A
Is consistent in services provided to clients.
Gives feedback to the client regularly.
Builds trust with the client.
Persistent in solving client issues.
Maintains strong relationships with clients.
Developing Others	Agree	Unsure	Disagree	N/A
Tries to ensure employees are ready to move to the next level.
Creates a work environment that fosters positive feedback to employees.
Creates opportunities for professional development.
Assigns tasks and responsibilities to develop skills of others.
Encourages employees through recognition of positive changes in behavior.
Fiscal Management	Agree	Unsure	Disagree	N/A
Develops of the department's annual budget.
Monitors spending.
Effective in using Company's resources.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops budgets and plans for various programs and initiatives.

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

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

    
    
47. Strengths
    
    
    
48. Areas for Development
    
    
    
49. Please give any final comments or suggestions for [Participant Name Here]'s assessment.