Managing Performance - 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Managing Performance:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)

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.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .

Managing Performance

Agree Unsure Disagree N/A
  1. Measures performance against goals and objectives.
  1. Is consistent in disciplinary/corrective actions.
  1. Sets specific and measurable goals for others and follows through to completion.
  1. Prioritizes the work of others.
  1. Examines the most effective ways for accomplishing goals.


Agree Unsure Disagree N/A
  1. Suggests new ideas at meetings.
  1. Builds upon the ideas and solutions of others.
  1. Offers constructive improvements to existing systems.
  1. Analyzes current procedures and identifies opportunities for improvement.
  1. Challenges current procedures to develop other alternatives.

Continual Learning

Agree Unsure Disagree N/A
  1. Shares best practices with others and learns from others.
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Builds on their strengths while addressing their weaknesses.
  1. Sets relevant learning objectives and goals.
  1. Pursues self-improvement through continual learning.


Agree Unsure Disagree N/A
  1. Open to the suggestions of others.
  1. Considers other's opinion and suggestions.
  1. Looks to others for input.
  1. Shares past experiences with others as learning opportunities.
  1. Is visible and approachable.


Agree Unsure Disagree N/A
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Contributes to a positive and fun work environment.
  1. Builds open and trusting relationships.
  1. Treats all people fairly and with respect.

Cultural Awareness

Agree Unsure Disagree N/A
  1. Seeks out different viewpoints and benefits from different perspectives.
  1. Recognizes and values individual and cultural differences.
  1. Treats others with dignity and respect.
  1. Encourages a work environment where individual differences are valued.
  1. Respects others regardless of age, race, gender, nationality, or disability.

Time Management

Agree Unsure Disagree N/A
  1. Uses agendas when chairing or facilitating meetings.
  1. Does not become flustered by deadlines and timelines.
  1. Does not procrastinate.
  1. Completes tasks ahead of schedule.
  1. Sets clearly defined goals.

Commitment To Result

Agree Unsure Disagree N/A
  1. Creates a sense of urgency among the store team members to complete activities, which drive sales.
  1. Committed to the team.
  1. Able to focus on a task even when working alone.
  1. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  1. Willing to do whatever it takes-not afraid to have to put in extra effort.


Agree Unsure Disagree N/A
  1. Consistently provides me with timely feedback for improving my performance.
  1. Effectively organizes resources and plans
  1. Communicates goals and objectives to employees.
  1. Encourages me to take on greater responsibility.
  1. Establishes goals and objectives.

Client Focus

Agree Unsure Disagree N/A
  1. Maintains strong relationships with clients.
  1. Forms strong client relationships
  1. Looks for opportunities that have a positive impact on Clients.
  1. Ensures client commitments and requirements are met or exceeded
  1. Obtains feedback to ensure client needs are being met.

Customer Focus

Agree Unsure Disagree N/A
  1. Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
  1. ...friendliness and courtesy
  1. Ensures all customer commitments and requirements are met or exceeded.
  1. Considers customers point of view when making decisions.
  1. Develops good rapport and trust with the customer.

Fiscal Management

Agree Unsure Disagree N/A
  1. Keeps excellent records for financial transparency.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Effective in using Company's resources.
  1. Monitors expenses and verifies the need for items purchased.
  1. Develops budgets and plans for various programs and initiatives.

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.