Others- 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 .

Others	Agree	Unsure	Disagree	N/A
Is able to see issues from others' perspectives.
Able to see issues from others' perspectives.
Constructively receives criticism and suggestions from others.
Works across boundaries within the organization.
Helpful
Empowering Others	Agree	Unsure	Disagree	N/A
Allows employees to make their own decisions.
Gives new tasks to employees.
Gives employees the freedom to set their own schedule.
Views others in the department as valued assets to be trained and employed.
Sets clear goals for others to accomplish.
Management	Agree	Unsure	Disagree	N/A
Takes responsibility for things that go wrong
Delegate tasks effectively
Makes you feel enthusiastic about your work
Keep staff informed about what is happening in the company
Is ready to offer help
Project Management	Agree	Unsure	Disagree	N/A
Accurately determines the number of staff needed for the project.
Monitors finances to ensure optimal use of project funds.
Communicates with the necessary stakeholders if the budget targets are missed.
Uses appropriate technology to efficiently communicate with team members.
Presents clear and accurate status information to required constituents.
Achievement	Agree	Unsure	Disagree	N/A
Takes immediate action of projects that fall behind schedule.
Set high standards in their performance
Successfully launched the ABC project.
Uses established goals and performance measures to keep track of performance.
Works at a quick pace to complete a high volume of work.
Objectives	Agree	Unsure	Disagree	N/A
Effectively organizes resources and plans
Establishes goals and objectives.
Able to organize work.
Organizes and schedules events, activities, and resources.
Communicates goals and objectives to employees.
Client Focus	Agree	Unsure	Disagree	N/A
Accepts responsibility for ensuring client satisfaction.
Thoroughly understands the needs of the client.
Maintains strong relationships with clients.
Is committed to resolving client issues in a positive way.
Obtains feedback to ensure client needs are being met.
Teamwork	Agree	Unsure	Disagree	N/A
Treats other team members with respect.
Coaches team members to work toward a common goal.
Communicates well with team members.
Actively participates in the work of teams; seeks and listens to others' contributions
Applies knowledge of team behavior to help achieve organizational goals and objectives.
Action	Agree	Unsure	Disagree	N/A
Takes preemptive actions avoid obstacles or delays.
Seeks new opportunities for advancement.
Acts quickly to create innovative products and services.
Drives and mobilizes others progress toward goals.
Creates performance measures to ensure action by the department.

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

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

    
    
47. Strengths
    
    
    
48. Areas for Development
    
    
    
49. Please give any final comments or suggestions for [Participant Name Here]'s assessment.