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
Helpful
Respects the opinions of other employees.
Treats others with respect and dignity.
Constructively receives criticism and suggestions from others.
Forms working relationships with employees from other departments.
Empowering Others	Agree	Unsure	Disagree	N/A
Encourages employees to solve problems on their own.
Allows employees to make their own decisions.
Gives employees the opportunity to make their own decisions at work.
Provides support and resources needed to accomplish goals.
Gives employees input into the decision making process.
Management	Agree	Unsure	Disagree	N/A
Keep staff informed about what is happening in the company
Is ready to offer help
Makes you feel enthusiastic about your work
Sets an example for others to follow
Delegate tasks effectively
Project Management	Agree	Unsure	Disagree	N/A
Organizes work and sets priorities as needed.
Works with customers and clients to assess their needs and define project parameters.
Regularly reviews project performance and goals.
Develops action items, workplans, timelines, and criteria for projects.
Able to adjust project schedule as needed to accommodate unforeseen issues.
Achievement	Agree	Unsure	Disagree	N/A
Completes work to a high technical standard
Follows-up and takes action when goals are not met to ensure better results in the future.
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Sets challenging goals for the department.
Objectives	Agree	Unsure	Disagree	N/A
Consistently provides me with timely feedback for improving my performance.
Organizes and schedules events, activities, and resources.
Effectively organizes resources and plans
Able to organize work.
Ability to establish realistic goals.
Client Focus	Agree	Unsure	Disagree	N/A
Maintains strong relationships with clients.
Satisfies client needs.
Looks for opportunities that have a positive impact on Clients.
Obtains feedback to ensure client needs are being met.
Forms strong client relationships
Teamwork	Agree	Unsure	Disagree	N/A
Creates a culture that fosters and values collaboration.
Provides assistance and support to other team members when needed
Act as an effective team player
Recognizes and respects the contributions and needs of each individual.
Fosters respect and understanding among team members
Action	Agree	Unsure	Disagree	N/A
Is not afraid to take corrective action when necessary.
Motivates & supports others to gain skills
Gets the job done.
Makes effective decisions, even when under pressure.
Effectively makes decisions

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.