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
...treats others with respect and dignity.
Forms working relationships with employees from other departments.
Consistently demonstrates ability and willingness to trust others.
Includes others in the decision making processes.
Empowering Others	Agree	Unsure	Disagree	N/A
Fosters a sense of ownership and accountability for the process/product.
Recognizes the contributions that others make to the department.
Demonstrates confidence in the abilities of subordinates.
Recognizes the expertise that employees have in certain areas and allows them the freedom to operate as they see fit.
Lets employees make their own decisions.
Management	Agree	Unsure	Disagree	N/A
Keep staff informed about what is happening in the company
Makes you feel enthusiastic about your work
Is ready to offer help
Takes responsibility for things that go wrong
Delegate tasks effectively
Project Management	Agree	Unsure	Disagree	N/A
Able to adjust project schedule as needed to accommodate unforeseen issues.
Ensures work is completed to the appropriate standards.
Establishes the scope for the project.
Creates a vision for execution of the project to ensure coordination across all teams.
Inspires others to accomplish goals and objectives.
Achievement	Agree	Unsure	Disagree	N/A
Accepts setbacks and challenges as improvement opportunities
Strives to exceed standards of performance.
Completes work to given time frame and to budget
Driven to complete goals despite obstacles that may arise.
Reduced department expenses by 25 percent.
Objectives	Agree	Unsure	Disagree	N/A
Able to organize work.
Assures [Company] principles are understood, employed & pursued.
Organizes and schedules events, activities, and resources.
Encourages me to take on greater responsibility.
Ability to establish realistic goals.
Client Focus	Agree	Unsure	Disagree	N/A
Exhibits a positive attitude even when dealing with difficult clients.
Is pro-active in dealing with clients and addressing their needs.
Anticipates resources needed to meet the client needs.
Builds long term relationships with clients.
Ensures client commitments and requirements are met or exceeded
Teamwork	Agree	Unsure	Disagree	N/A
Is committed to the success of the team.
Is open to new ideas that may change own goals for benefit of the team
Makes decisions that support the team's goals and objectives.
Builds strong relationships with team members.
Joins with other team members to brainstorm solutions to the problem.
Action	Agree	Unsure	Disagree	N/A
Conducts critical-incident review immediately after the event.
Immediately develops alternatives and solutions when presented with a problem or issue.
Regularly conducts preventative maintenance on the equipment.
Completes tasks on time in spite of delays in the process.
Moves forward on important projects.

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.