Juggling Multiple Responsibilities - 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 [Participant Name Here]'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 April 21.

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Juggling Multiple Responsibilities	Agree	Unsure	Disagree	N/A
Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.	Agree	Unsure	Disagree	N/A
Organizes tasks for the most efficient order of completion.	Agree	Unsure	Disagree	N/A
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.	Agree	Unsure	Disagree	N/A
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.	Agree	Unsure	Disagree	N/A
Coordinates the work of a team by assigning tasks to other team members.	Agree	Unsure	Disagree	N/A
Bias for Action	Agree	Unsure	Disagree	N/A
Completes a large volume of work.	Agree	Unsure	Disagree	N/A
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).	Agree	Unsure	Disagree	N/A
Motivates others to achieve or exceed goals	Agree	Unsure	Disagree	N/A
Conveys a sense of urgency about addressing problems and opportunities	Agree	Unsure	Disagree	N/A
Displays high energy and enthusiasm on consistent basis.	Agree	Unsure	Disagree	N/A
Objectives	Agree	Unsure	Disagree	N/A
Able to organize work.	Agree	Unsure	Disagree	N/A
Consistently provides me with timely feedback for improving my performance.	Agree	Unsure	Disagree	N/A
Assures [Company] principles are understood, employed & pursued.	Agree	Unsure	Disagree	N/A
Works toward achieving established goals and objectives.	Agree	Unsure	Disagree	N/A
Organizes and schedules events, activities, and resources.	Agree	Unsure	Disagree	N/A
Responsible	Agree	Unsure	Disagree	N/A
Sets a good example	Agree	Unsure	Disagree	N/A
Sets a good example.	Agree	Unsure	Disagree	N/A
Responsible for setting the vision of the department.	Agree	Unsure	Disagree	N/A
Holds herself / himself accountable to goals / objectives	Agree	Unsure	Disagree	N/A
Works in a way that makes others want to work with her/him.	Agree	Unsure	Disagree	N/A
Business Acumen	Agree	Unsure	Disagree	N/A
Understands impacts of domestic & global market events & issues.	Agree	Unsure	Disagree	N/A
Understands the critical business needs of the customer.	Agree	Unsure	Disagree	N/A
Understands complex issues and problems.	Agree	Unsure	Disagree	N/A
Involves key stakeholders (employees, customers, investors, partners) in the planning process to gain diverse perspectives and buy-in.	Agree	Unsure	Disagree	N/A
Applies the knowledge of work processes to influence the achievement of business goals	Agree	Unsure	Disagree	N/A
Continual Learning	Agree	Unsure	Disagree	N/A
Shares best practices with others and learns from others.	Agree	Unsure	Disagree	N/A
Sets relevant learning objectives and goals.	Agree	Unsure	Disagree	N/A
Grasps new ideas, concepts, technical, or business knowledge.	Agree	Unsure	Disagree	N/A
Takes the initiative to learn new skills.	Agree	Unsure	Disagree	N/A
Builds on their strengths while addressing their weaknesses.	Agree	Unsure	Disagree	N/A
Feedback	Agree	Unsure	Disagree	N/A
Seeks feedback to enhance performance.	Agree	Unsure	Disagree	N/A
Shares past experiences with others as learning opportunities.	Agree	Unsure	Disagree	N/A
Considers other's opinion and suggestions.	Agree	Unsure	Disagree	N/A
Looks to others for input.	Agree	Unsure	Disagree	N/A
Is visible and approachable.	Agree	Unsure	Disagree	N/A
Attitude	Agree	Unsure	Disagree	N/A
Contributes to a positive work environment.	Agree	Unsure	Disagree	N/A
Visibly supports and encourages diversity in style and background.	Agree	Unsure	Disagree	N/A
Contributes to a positive and fun work environment.	Agree	Unsure	Disagree	N/A
Treats all people fairly and with respect.	Agree	Unsure	Disagree	N/A
Works to eliminate unnecessary work or barriers that get in others' way.	Agree	Unsure	Disagree	N/A
Goals	Agree	Unsure	Disagree	N/A
Makes sure that team members have a clear idea of our group's goals.	Agree	Unsure	Disagree	N/A
Makes sure that I have a clear idea of our group's goals.	Agree	Unsure	Disagree	N/A
Achieves established goals.	Agree	Unsure	Disagree	N/A
Establishes and documents goals and objectives.	Agree	Unsure	Disagree	N/A
Conducts timely follow-up; keeps others informed on a need to know basis.	Agree	Unsure	Disagree	N/A
Change Management	Agree	Unsure	Disagree	N/A
Supports the Company's efforts to implement changes.	Agree	Unsure	Disagree	N/A
Develops a strategy for implementing changes.	Agree	Unsure	Disagree	N/A
Inspires others to accept changes.	Agree	Unsure	Disagree	N/A
Inspires others to want to change.	Agree	Unsure	Disagree	N/A
Able to get team members to change their attitudes.	Agree	Unsure	Disagree	N/A
Technical	Agree	Unsure	Disagree	N/A
Knows how to produce high quality products/work.	Agree	Unsure	Disagree	N/A
Seeks information from others as needed.	Agree	Unsure	Disagree	N/A
Willingly shares information and expertise; sought out as resource by others	Agree	Unsure	Disagree	N/A
Willingly shares his/her technical expertise; sought out as resource by others	Agree	Unsure	Disagree	N/A
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices	Agree	Unsure	Disagree	N/A
Partnering/Networking	Agree	Unsure	Disagree	N/A
Leverages core competencies of partners to the benefit of both parties.	Agree	Unsure	Disagree	N/A
Supports a partnering/networking culture.	Agree	Unsure	Disagree	N/A
Exchanges ideas, resources, plans, and technologies with colleagues.	Agree	Unsure	Disagree	N/A
Nurtures a collaborative and inclusive environment that encourages knowledge sharing and continuous learning.	Agree	Unsure	Disagree	N/A
Partners with supply chain companies to enhance availability of resources and material.	Agree	Unsure	Disagree	N/A
Strategic Insight	Agree	Unsure	Disagree	N/A
Meets with customers to gain insight into their core needs and how best to serve them.	Agree	Unsure	Disagree	N/A
Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.	Agree	Unsure	Disagree	N/A
Develops a strategic vision for the future.	Agree	Unsure	Disagree	N/A
Works with others to develop insights into the resources and actions required to produce desired results.	Agree	Unsure	Disagree	N/A
Recognizes the needs of customers.	Agree	Unsure	Disagree	N/A

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.