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
Prioritizes tasks for efficiency.
Plans and organizes continuously while performing all other responsibilities and activities.
Coordinates the work of a team by assigning tasks to other team members.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Ranks the importance of tasks to make sure critical tasks are completed first.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Begins tasks as soon as possible.
Ensures that assignments are prioritized according to the needs of the department/company.
Can multitask while performing all of their other responsibilities and activities.
Managing Performance	Strongly Disagree	Disagree	Agree	Strongly Agree
Presents performance feedback in a clear and concise manner to address performance issues.
Measures performance using standard production quotas.
Is proactive in administering the rewards program.
Records production quotas on a daily basis.
Participates in training as needed to improve job performance.
Administrative Skill	Strongly Disagree	Disagree	Agree	Strongly Agree
Completes reports on-time.
Strong organizational skills to keep the workspace and department in order
Accurately implements contract provisions.
Has strong technical/computer skills.
Implements and uses performance measures.
Safety	Strongly Disagree	Disagree	Agree	Strongly Agree
Is aware of OSHA safety guidelines.
Committed to safety in the workplace.
Performs work safely.
Supports safety programs and procedures.
Mitigates hazards and safety issues that arise.
Collaboration	Strongly Disagree	Disagree	Agree	Strongly Agree
Contributes resources and knowledge to help the team achieve its goals.
Promotes open participation and communication within department and throughout the organization.
Uses effective strategies to re-engage team members and secure their commitment to the business's common good.
Builds consensus among team members.
Works to get buy-in of individuals based on common good of business.
Responsible	Strongly Disagree	Disagree	Agree	Strongly Agree
Sets a good example.
Sets high personal standards of performance.
Completes assigned work tasks.
Holds herself / himself accountable to goals / objectives
Works in a way that makes others want to work with her/him.
Strategic Insight	Strongly Disagree	Disagree	Agree	Strongly Agree
Strategically aligns projects to the goals of the company.
Observes employees at work to get better insight into the issues they are dealing with.
Converses with customers and clients to get a better insight into their personal needs.
Creates strategies that significantly benefit the Company.
Creates values statement to ensure all employees are working under the same guiding principles.

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.