Juggling Responsibilities - 360 Degree Feedback Survey Sample #13

Instructions

You are being requested to provide valuable feedback on the manager listed above. Your insights and observations are a crucial element in our continuous efforts to enhance our performance through this leadership development program. This feedback tool has been carefully designed to gather detailed and comprehensive input on the core competencies and role responsibilities that are integral to the ongoing success and growth of our organization.

We believe that your unique perspective, based on your interactions and experiences with this manager, will contribute significantly to identifying strengths, areas for improvement, and opportunities for professional growth. Your feedback will help us foster a culture of excellence, accountability, and continuous improvement within our leadership team.

As you complete the assessment form, please reflect on your interactions with this individual over the past six to twelve months. Your responses will be combined with feedback from others and presented to the manager to aid in their ongoing development. Rest assured, your comments will be shared anonymously, exactly as you write them.

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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Juggling Multiple Responsibilities	Strongly Disagree	Disagree	Agree	Strongly Agree
Spends the most time and effort on critical tasks first.
Is aware of the deadlines for specific tasks/assignments.
Builds in extra time in the schedule for unplanned events/occurrences.
Assesses current capabilities before committing to new requests from customers.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Coordinates the work of a team by assigning tasks to other team members.
Organizes tasks for the most efficient order of completion.
Prioritizes tasks for efficiency.
Plans and organizes continuously while performing all other responsibilities and activities.
Managing Performance	Strongly Disagree	Disagree	Agree	Strongly Agree
Sets long and short term goals.
Records production quotas on a daily basis.
Is proactive in administering the rewards program.
Presents performance feedback in a clear and concise manner to address performance issues.
Sets the Objectives and Key Results (OKRs) required for the position.
Administrative Skill	Strongly Disagree	Disagree	Agree	Strongly Agree
Prepares payroll and tax forms/reports.
Effectively conveys information verbally to others.
Keeps track of document updates and revisions to ensure the most current version is readily available while preserving earlier versions if needed.
Follows established policies and procedures.
Actively seeks to assist others in need.
Safety	Strongly Disagree	Disagree	Agree	Strongly Agree
Keeps accurate safety records.
Creates accurate and effective measures of safety.
Works to implement corrective safety measures.
Participates in safety training as applicable.
Develops a sustainable safety culture.
Collaboration	Strongly Disagree	Disagree	Agree	Strongly Agree
Respectful of others in group discussions.
Keeps everyone aligned and motivated to maintain a cohesive and productive team.
Builds an environment of trust and respect to encourage risk-taking, innovation, and sharing of ideas.
Defines shared goals with the committee members.
Effectively uses digital tools do you use to improve collaboration in the department.
Responsible	Strongly Disagree	Disagree	Agree	Strongly Agree
Holds herself / himself accountable to goals / objectives
Completes assigned work tasks.
Sets high personal standards of performance.
...takes personal responsibility for results.
Acts as a resource without removing individual responsibility.
Strategic Insight	Strongly Disagree	Disagree	Agree	Strongly Agree
Works with others to develop insights into the resources and actions required to produce desired results.
Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
Observes employees at work to get better insight into the issues they are dealing with.
Implements long-term solutions to problems.
Lets employees know how their roles contribute toward the achievement of strategic company objectives.

40. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
41. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
42. Overall, please rate the effectiveness of [Participant Name Here].
    

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

    
    
    
43. Please give any final comments or suggestions for [Participant Name Here]'s assessment.