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
Forms working relationships with employees from other departments.
Respects the opinions of other employees.
...treats others with respect and dignity.
Supports the efforts of other employees in implementing solutions to problems.
Helpful
Empowering Others	Agree	Unsure	Disagree	N/A
Allows employees the freedom to do tasks how they see fit, but holds them accountable for obtaining results.
Values the opinions of others.
Sets clear goals for others to accomplish.
Allows employees to take on more responsibilities.
Trusts employees with important responsibilities.
Management	Agree	Unsure	Disagree	N/A
Sets an example for others to follow
Keep staff informed about what is happening in the company
Delegate tasks effectively
Takes responsibility for things that go wrong
Is ready to offer help
Project Management	Agree	Unsure	Disagree	N/A
Identifies the source materials that will be needed.
Manages various facets of the project to keep it on track with the delivery date.
Follows progress on the project from initial phase to completion.
Keeps accurate records regarding the costs of various aspects of the project.
Creates a risk management plan and periodically updates it as the project moves forward.
Achievement	Agree	Unsure	Disagree	N/A
Sets performance metrics to measure achievement or attainment of goals.
Created impactful reports for the re-organization committee.
Is results oriented.
Helps others to improve or meet standards of performance.
Motivated to exceed performance goals.
Objectives	Agree	Unsure	Disagree	N/A
Establishes goals and objectives.
Organizes and schedules events, activities, and resources.
Consistently provides me with timely feedback for improving my performance.
Able to organize work.
Communicates goals and objectives to employees.
Client Focus	Agree	Unsure	Disagree	N/A
Focuses on providing excellent client service.
Meets with clients on a regular basis.
Fosters an environment that supports strong client focus.
Builds trust with the client.
Is above average in addressing the needs of the clients.
Teamwork	Agree	Unsure	Disagree	N/A
Takes the time to actively listen to other team member's perspectives.
Finds opportunities to recognize and reward team members.
Is able to accurately paraphrase and summarize what other team members have said.
Gives constructive advice to other team members.
Encourages other team members to adopt new procedures.
Action	Agree	Unsure	Disagree	N/A
Creates innovative products and services.
Moves forward on important projects.
Takes action to respond to dissatisfied customer.
Will take action to address a problem rather than to wait to confer with others about the situation.
Conducts critical-incident review immediately after the event.

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.