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
Treats others with respect and dignity.
Supports the efforts of other employees in implementing solutions to problems.
Includes others in the decision making processes.
Forms working relationships with employees from other departments.
Consistently demonstrates ability and willingness to trust others.
Empowering Others	Agree	Unsure	Disagree	N/A
Sets clear goals for others to accomplish.
Provides support and resources needed to accomplish goals.
Is aware of the skill levels of others.
Trusts employees to complete tasks assigned.
Gives employees autonomy to complete tasks on their own.
Management	Agree	Unsure	Disagree	N/A
Takes responsibility for things that go wrong
Makes you feel enthusiastic about your work
Delegate tasks effectively
Keep staff informed about what is happening in the company
Sets an example for others to follow
Project Management	Agree	Unsure	Disagree	N/A
Regularly reviews project performance and goals.
Works with customers and clients to assess their needs and define project parameters.
Responds quickly and appropriately to unforeseen problems.
Defines project outcomes based on customer requirements.
Organizes work and sets priorities as needed.
Achievement	Agree	Unsure	Disagree	N/A
Strives to exceed standards of performance.
Sets challenging goals.
Systematically works to improve the organization
Completes work to a high technical standard
Completes work promptly and efficiently.
Objectives	Agree	Unsure	Disagree	N/A
Organizes and schedules events, activities, and resources.
Assures [Company] principles are understood, employed & pursued.
Works toward achieving established goals and objectives.
Encourages me to take on greater responsibility.
Ability to establish realistic goals.
Client Focus	Agree	Unsure	Disagree	N/A
Tailors innovative products for each client.
Creates customized solutions for the client.
Promptly responds to clients.
Has received good feedback from clients.
Provides excellent service to clients.
Teamwork	Agree	Unsure	Disagree	N/A
Provides assistance and support to other team members when needed
Recognizes and respects the contributions and needs of each individual.
Effective team player
Actively and openly participates in group meetings.
Fosters teamwork rather than individual competition
Action	Agree	Unsure	Disagree	N/A
Does whatever it takes (within reason) to get the job done.
Is not afraid to take corrective action when necessary.
Makes effective decisions, even when under pressure.
Works quickly when faced with difficult problems.
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.