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
Respects the opinions of other employees.
Helpful
Treats others with respect and dignity.
Forms working relationships with employees from other departments.
Works effectively with people from other departments.
Empowering Others	Agree	Unsure	Disagree	N/A
Encourages others to obtain necessary skills and training.
Is confident in the abilities of employees assigned important tasks.
Gives employees the resources they need to complete the job.
Establishes goals that allow employees top operate independently in the field.
Encourages employees to take on greater responsibilities.
Management	Agree	Unsure	Disagree	N/A
Delegate tasks effectively
Makes you feel enthusiastic about your work
Is ready to offer help
Sets an example for others to follow
Takes responsibility for things that go wrong
Project Management	Agree	Unsure	Disagree	N/A
Organizes work and sets priorities as needed.
Creates the metrics used to measure progress on the project.
Creates a vision for execution of the project to ensure coordination across all teams.
Identifies potential risks that could pose challenges to the project timeline.
Makes sure all team members understand their roles.
Achievement	Agree	Unsure	Disagree	N/A
Takes calculated risks.
Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.
Inspires others to work with a sense of urgency.
Strives to exceed standards of performance.
Sets performance metrics to measure achievement or attainment of goals.
Objectives	Agree	Unsure	Disagree	N/A
Communicates goals and objectives to employees.
Organizes and schedules events, activities, and resources.
Consistently provides me with timely feedback for improving my performance.
Effectively organizes resources and plans
Works toward achieving established goals and objectives.
Client Focus	Agree	Unsure	Disagree	N/A
Anticipates problems that the client may encounter.
Satisfies client needs.
Provides a responsive service that meets the needs of clients.
Transparent in all communications with the client.
Demonstrates a commitment to client focus.
Teamwork	Agree	Unsure	Disagree	N/A
Acts as an effective team player
Demonstrates a willingness to work with the team.
Contributes to and supports team decision-making process
Facilitates effective teamwork during periods of change.
Helps the team balance analysis with decisiveness in making decisions.
Action	Agree	Unsure	Disagree	N/A
Anticipates needs and takes pre-emptive action to address the issue.
Takes action to respond to dissatisfied customer.
Anticipates critical incidents in the department and takes steps to mitigate their effect.
Fixes small issues before they become critical incidents.
Decides to act rather than remain passive.

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.