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 .

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Others	Agree	Unsure	Disagree	N/A
...treats others with respect and dignity.
Able to see issues from others' perspectives.
Helpful
Respects the opinions of other employees.
Forms working relationships with employees from other departments.
Empowering Others	Agree	Unsure	Disagree	N/A
Recognizes the contributions that others make to the department.
Assigns important tasks to subordinates.
Includes others in the decision making process.
Supports the decisions of others even if those decisions may sometimes lead to mistakes.
Encourages employees to think outside the box.
Management	Agree	Unsure	Disagree	N/A
Makes you feel enthusiastic about your work
Is ready to offer help
Delegate tasks effectively
Keep staff informed about what is happening in the company
Takes responsibility for things that go wrong
Project Management	Agree	Unsure	Disagree	N/A
Accurately determines the number of staff needed for the project.
Manages various facets of the project to keep it on track with the delivery date.
Coordinates timelines, events and tasks with various sub-groups within the project.
Uses scheduling software to create and monitor the timeline.
Organizes work and sets priorities as needed.
Achievement	Agree	Unsure	Disagree	N/A
Takes immediate action of projects that fall behind schedule.
Takes calculated risks to achieve difficult goals.
Completed training on the new equipment.
Highly motivated to achieve or exceed performance standards.
Takes calculated risks.
Objectives	Agree	Unsure	Disagree	N/A
Assures [Company] principles are understood, employed & pursued.
Works toward achieving established goals and objectives.
Communicates goals and objectives to employees.
Effectively organizes resources and plans
Encourages me to take on greater responsibility.
Client Focus	Agree	Unsure	Disagree	N/A
Creates customized solutions for the client.
Responds to feedback from clients.
Focuses on the unique needs of each client.
Is pro-active in dealing with clients and addressing their needs.
Makes sure client needs are understood by the team members.
Teamwork	Agree	Unsure	Disagree	N/A
Committed to the successful completion of team goals.
Adjusts to changes in the composition of the team.
Listens to other team members without interrupting them.
Gives constructive advice to other team members.
Makes decisions that positively impact team performance.
Action	Agree	Unsure	Disagree	N/A
Is the first to volunteer for assignments.
Undertakes actions to achieve specific goals.
Moves forward on important projects.
Anticipates critical incidents in the department and takes steps to mitigate their effect.
Sets high standards for themselves and others.

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.