Leadership - 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 .

Leadership	Agree	Unsure	Disagree	N/A
Demonstrates leadership and courage in critical situations.
Leads team to set goals, solve problems, and accomplish tasks.
Takes ownership and accountability for results
Effectively leads others.
Is a highly effective supervisor.
Persuasion and Influence	Agree	Unsure	Disagree	N/A
Understanding what others need.
Communicates effectively with others.
Persuades others to consider alternative points of view.
Develops a good rapport with others.
Seeks to obtain consensus or compromise.
Quality	Agree	Unsure	Disagree	N/A
Encourages others to produce the highest quality work products.
Reflects on what is working and what could be improved.
Encourages others to achieve high quality standards.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Corrects issues in a timely manner.
Change Management	Agree	Unsure	Disagree	N/A
Effective in implementing new organizational vision and values.
Able to get department employees to accept new changes.
Addresses organizational and departmental resistance to changes.
Inspires others to accept changes.
Able to get team members to change their attitudes.
Empowering Others	Agree	Unsure	Disagree	N/A
Trusts employees are able to complete assigned tasks.
Demonstrates confidence in the abilities of subordinates.
Encourages employees to take on greater responsibilities.
Creates opportunities for employees to exercise their independence.
Sets goals to allow the employee to have more autonomy over their work.
Partnering/Networking	Agree	Unsure	Disagree	N/A
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Creates value within the Company by building networks.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Supports and encourages relationships that are created by diverse team members.
Capitalizes on partnerships and networks to enhance the Company's bottom line.

31. Overall, please rate the effectiveness of [Participant Name Here].
    

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

    
    
32. Strengths
    
    
    
33. Areas for Development
    
    
    
34. Please give any final comments or suggestions for [Participant Name Here]'s assessment.