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 .

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Integrity	Agree	Unsure	Disagree	N/A
Fosters a high standard of ethics and integrity.
Accepts responsibility for mistakes.
Does what was promised.
Demonstrates sincerity in actions with others.
Fosters an environment built upon trust.
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.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Analyzes processes to determine areas for improvement.
Looks for ways to expand current job responsibilities.
Supervisory Skills	Agree	Unsure	Disagree	N/A
Provides direction and coaching to employees.
Empowers employees to perform the assigned tasks.
Implements disciplinary policy in accordance with the union contract
Provides clear expectations of outcomes during performance reviews.
Provides useful and constructive feedback to employees.
Delegation	Agree	Unsure	Disagree	N/A
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Tells subordinates what to do, not how to do it.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Quality	Agree	Unsure	Disagree	N/A
Implements appropriate training to maintain high quality standards.
Understands and uses established quality procedures/controls.
Analyzes quality improvement plans and initiatives.
Is innovative and creative in response to issues involving quality of the products.
Promotes quality improvement practices in the department.
Change Management	Agree	Unsure	Disagree	N/A
Able to get department employees to accept new changes.
Effective in dealing with ambiguous and challenging situations.
Effective in implementing new organizational vision and values.
Works cooperatively with others to implement changes.
Develops a strategy for implementing changes.
Client Focus	Agree	Unsure	Disagree	N/A
Anticipates problems that the client may encounter.
Uses feedback from the client to help improve the client's experience.
Forms strong client relationships
Is above average in addressing the needs of the clients.
Ensures commitments made to clients are completed to the client's satisfaction.
Developing Others	Agree	Unsure	Disagree	N/A
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Encourages employees through recognition of positive changes in behavior.
Sets performance objectives for subordinates that encourages development opportunities.
Creates opportunities for professional development.
Provides constructive feedback to others.
Fiscal Management	Agree	Unsure	Disagree	N/A
Provides budgeting and accounting support to the Company.
Effective in using Company's resources.
Monitors spending.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Keeps excellent records for financial transparency.

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.