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
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Assesses current capabilities before committing to new requests from customers.
Plans and organizes continuously while performing all other responsibilities and activities.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Bias for Action	Agree	Unsure	Disagree	N/A
Completes work on time
Completes a large volume of work.
Encourages risk taking and experimentation to improve performance
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Identifies ways to simplify work processes and reduce cycle times
Objectives	Agree	Unsure	Disagree	N/A
Organizes and schedules events, activities, and resources.
Able to organize work.
Encourages me to take on greater responsibility.
Assures [Company] principles are understood, employed & pursued.
Communicates goals and objectives to employees.
Responsible	Agree	Unsure	Disagree	N/A
Completes assigned work tasks.
...takes personal responsibility for results.
Works in a way that makes others want to work with her/him.
Sets a good example.
Is a person you can trust.
Business Acumen	Agree	Unsure	Disagree	N/A
Considers impact of actions on other areas of the organization.
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Able to align resources to meet the business needs of the company.
Asks the 'right' questions to size up or evaluate situations.
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Continual Learning	Agree	Unsure	Disagree	N/A
Is open to new ideas and concepts.
Improves on their skill sets.
Participates in regular training offered.
Seeks opportunities to grow in skills and knowledge.
Builds on their strengths while addressing their weaknesses.
Feedback	Agree	Unsure	Disagree	N/A
Seeks feedback to enhance performance.
Shares past experiences with others as learning opportunities.
Is visible and approachable.
Actively seeks feedback from others.
Looks to others for input.
Attitude	Agree	Unsure	Disagree	N/A
Builds open and trusting relationships.
Treats all people fairly and with respect.
Works to eliminate unnecessary work or barriers that get in others' way.
Contributes to a positive work environment.
Shows by their actions that they trust in the positive intentions of others.
Goals	Agree	Unsure	Disagree	N/A
Sets high expectations and goals; encourages others to support the organization.
Conducts timely follow-up; keeps others informed on a need to know basis.
Achieves established goals.
Understands & contributes to development of strategic goals.
Makes sure that team members have a clear idea of our group's goals.
Change Management	Agree	Unsure	Disagree	N/A
Effective in implementing new organizational vision and values.
Supports the Company's efforts to implement changes.
Effective in dealing with ambiguous and challenging situations.
Assists others in understanding changes to the organization.
Adopts changes to set and example for others to follow.
Technical	Agree	Unsure	Disagree	N/A
Willingly shares his/her technical expertise; sought out as resource by others
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Demonstrates mastery of the technical competencies required in his/her work.
Partnering/Networking	Agree	Unsure	Disagree	N/A
Promotes the understanding of how the department affects the organization overall.
Seeks an understanding of diverse functions within the Company.
Creates the conditions for partnerships to grow and develop.
Collaborates with others to accomplish goals and objectives.
Builds alliances between departments and teams.
Strategic Insight	Agree	Unsure	Disagree	N/A
Maintains knowledge of current trends in the industry.
Implements long-term solutions to problems.
Identifies potential problems before they become critical incidents.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Identifies root causes of problems.

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.