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 '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 .

Juggling Multiple Responsibilities	Agree	Unsure	Disagree	N/A
Can multitask while performing all of their other responsibilities and activities.
Spends the most time and effort on critical tasks first.
Switches attention to more urgent tasks when necessary.
Is aware of the deadlines for specific tasks/assignments.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Bias for Action	Agree	Unsure	Disagree	N/A
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Motivates others to achieve or exceed goals
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Encourages risk taking and experimentation to improve performance
Displays high energy and enthusiasm on consistent basis.
Objectives	Agree	Unsure	Disagree	N/A
Consistently provides me with timely feedback for improving my performance.
Assures [Company] principles are understood, employed & pursued.
Sets long-term and short-term goals.
Encourages me to take on greater responsibility.
Able to organize work.
Responsible	Agree	Unsure	Disagree	N/A
Sets a good example
Works in a way that makes others want to work with her/him.
Responsible for setting the vision of the department.
Acts as a resource without removing individual responsibility.
Sets a good example.
Business Acumen	Agree	Unsure	Disagree	N/A
Recognizes trends in underlying data.
Identifies potential regulatory risks and strategies to mitigate them.
Understands financial terminology, statements.
Collects valuable customer insights to ensure our services meet their needs.
Establishes clear, long-term objectives that align with the company's vision and mission.
Continual Learning	Agree	Unsure	Disagree	N/A
Shares best practices with others and learns from others.
Improves on their skill sets.
Takes the initiative to learn new skills.
Views setbacks as opportunities to learn from.
Grasps new ideas, concepts, technical, or business knowledge.
Feedback	Agree	Unsure	Disagree	N/A
Is easy to approach with ideas and opinions.
Considers other's opinion and suggestions.
Actively seeks feedback from others.
Asks others for their ideas and opinions.
Is visible and approachable.
Attitude	Agree	Unsure	Disagree	N/A
Visibly supports and encourages diversity in style and background.
Is gracious and professional in their interactions with others.
Works to eliminate unnecessary work or barriers that get in others' way.
Treats all people fairly and with respect.
Contributes to a positive work environment.
Goals	Agree	Unsure	Disagree	N/A
Makes sure that I have a clear idea of our group's goals.
Makes sure that team members have a clear idea of our group's goals.
Achieves goals.
Establishes and documents goals and objectives.
Achieves established goals.
Change Management	Agree	Unsure	Disagree	N/A
Inspires others to want to change.
Supports the Company's efforts to implement changes.
Is an inspiration for others to accept the recent changes.
Adopts changes to set and example for others to follow.
Able to get team members to change their attitudes.
Technical	Agree	Unsure	Disagree	N/A
Willingly shares information and expertise; sought out as resource by others
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Seeks information from others as needed.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Demonstrates mastery of the technical competencies required in his/her work.
Partnering/Networking	Agree	Unsure	Disagree	N/A
Seeks opportunities to meet with others.
Nurtures a collaborative and inclusive environment that encourages knowledge sharing and continuous learning.
Develops networks and builds alliances.
Able to highlight both the strategic benefits and potential pitfalls in collaboration.
Enters into licensing agreements to share intellectual property.
Strategic Insight	Agree	Unsure	Disagree	N/A
Converses with customers and clients to get a better insight into their personal needs.
Identifies potential problems before they become critical incidents.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Develops a plan and strategy for each functional area within the mission statement.
Lets employees know how their roles contribute toward the achievement of strategic company objectives.

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.