Partnering/Networking- 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 .

Partnering/Networking	Agree	Unsure	Disagree	N/A
Creates the conditions for partnerships to grow and develop.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Builds alliances between departments and teams.
Partners with peers to obtain influence within the Company.
Promotes the understanding of how the department affects the organization overall.
Accountability	Agree	Unsure	Disagree	N/A
Expects employees to accept the consequences of their actions.
Commits to leading the initiatives to solving critical issues.
Develops goals and establishes objective measures of success.
Aware of the consequences for failure to complete the project.
Defines roles, rights, and responsibilities of the team.
Feedback	Agree	Unsure	Disagree	N/A
Shares past experiences with others as learning opportunities.
Actively seeks feedback from others.
Accepts the views of others.
Considers other's opinion and suggestions.
Is easy to approach with ideas and opinions.
Emotional Intelligence	Agree	Unsure	Disagree	N/A
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Accurately perceives the emotional reactions of others.
Is able to control their own emotions.
Is able to express themselves clearly.
Project Management	Agree	Unsure	Disagree	N/A
Presents clear and accurate status information to required constituents.
Identifies potential risks that could pose challenges to the project timeline.
Ensures resources are utilized at the appropriate levels for each phase of the project.
Accurately determines the number of engineers required for the project.
Hold team members accountable for completing specific tasks on the project.
Performance	Agree	Unsure	Disagree	N/A
Able to organize work.
Sets a high standard for job performance.
...Overall Performance
Works effectively in the department.
Effective in performing his/her job.
Innovation	Agree	Unsure	Disagree	N/A
Suggests new ideas at meetings.
Offers constructive improvements to existing systems.
Analyzes current procedures and identifies opportunities for improvement.
Finds creative ways to get things done with limited resources.
Implements best practices within the department.
Achievement	Agree	Unsure	Disagree	N/A
Takes calculated risks to achieve difficult goals.
Increased revenue for the company.
Reduced department expenses by 25 percent.
Takes calculated risks.
Completes work promptly and efficiently.
Strategic Insight	Agree	Unsure	Disagree	N/A
Analyzes unique issues or problems impacting the Company.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Creates strategies that significantly benefit the Company.
Converses with customers and clients to get a better insight into their personal needs.
Pursues strategic alliances with valued partners.
Organizational Fluency	Agree	Unsure	Disagree	N/A
Able to deal with sensitive issues with tact and professionalism.
Anticipates problems that may affect the department.
Understands the current organizational culture.
Gets things done through the department.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.

51. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.