Conflict Management- 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 .

Negotiation	Agree	Unsure	Disagree	N/A
Establishes good working relationships with others.
Researches the needs of the other party to identify strengths and weaknesses of positions.
Is able to decline bad ideas to avoid making poor decisions.
Stays calm and focuses on the core issues to be discussed.
Able to clearly express thoughts and concerns.
Action	Agree	Unsure	Disagree	N/A
Works at a quick pace.
Is ambitious when working on the project.
Immediately develops alternatives and solutions when presented with a problem or issue.
Makes effective decisions, even when under pressure.
Does not procrastinate when there is a job to be done.
Persuasion and Influence	Agree	Unsure	Disagree	N/A
Seeks to obtain consensus or compromise.
Ensures stakeholders are involved in the decision making process.
Communicates effectively with others.
Develops a good rapport with others.
Able to express own goals and needs.
Decision Making	Agree	Unsure	Disagree	N/A
Weighs the pros and cons of decisions.
Has a good rapport other people which is helpful in making decisions on the team.
Has enough self-control to avoid making impulsive decisions.
Gathers information before making a decision.
Is able to make decisions quickly.
Initiative	Agree	Unsure	Disagree	N/A
Initiates new projects for the department.
Takes the initiative to change the direction or course of events.
When working on a problem in a team, they are often the first to suggest possible solutions.
Immediately informs the HR Department of any personnel complaints or issues.
Does things without being told.
Juggling Multiple Responsibilities	Agree	Unsure	Disagree	N/A
Determines which tasks are critical and which tasks are optional.
Assesses current capabilities before committing to new requests from customers.
Ranks the importance of tasks to make sure critical tasks are completed first.
Spends the most time and effort on critical tasks first.
Keeps track of multiple assignments and deadlines.
Objectives	Agree	Unsure	Disagree	N/A
Consistently provides me with timely feedback for improving my performance.
Ability to establish realistic goals.
Sets long-term and short-term goals.
Encourages me to take on greater responsibility.
Establishes goals and objectives.
Safety	Agree	Unsure	Disagree	N/A
Works to implement corrective safety measures.
Supports our company's safety programs.
Participates in safety training when offered.
Ensures compliance with safety regulations.
Points out behaviors in others that may be unsafe.
Developing Others	Agree	Unsure	Disagree	N/A
Recognizes and celebrates accomplishments of others.
Assesses employees' developmental needs.
Encourages employees through recognition of positive changes in behavior.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Assigns tasks and responsibilities to develop skills of others.
Teamwork	Agree	Unsure	Disagree	N/A
Makes eye contact when listening to colleagues.
Works cooperatively with others to solve problems.
Builds relationships across boundaries and with key stakeholders by developing informal and formal networks.
Helps the team exercise good judgment by making sound and informed decisions.
Carries his/her share of the workload

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

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

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.