Passion to Learn - 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 .

Passion To Learn	Agree	Unsure	Disagree	N/A
Demonstrates a willingness to participate in continuing education courses.
Enhances value to the company through additional training and development.
Constantly enhances product knowledge through experimentation and play.
Enjoys learning new skills and techniques.
Demonstrates through personal behavior the commitment to high standards of performance.
Supervisory Skills	Agree	Unsure	Disagree	N/A
Provides feedback that is aligned with performance expectations.
Fosters a positive work environment in the department.
Resolves personnel problems quickly and effectively.
Provides feedback referencing specific instances or examples of behaviors.
Seeks to enhance the performance of employees under their supervision.
Delegation	Agree	Unsure	Disagree	N/A
Assigns tasks to create learning opportunities for the employees.
Sets clear and reasonable expectations for others and follows through on their progress.
Allows subordinates to use their own methods and procedures.
Allows employees to decide how they wish to complete the tasks.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Quality	Agree	Unsure	Disagree	N/A
Committed to the improvement of the quality of services and products.
Makes sure cleanliness standards are met to reduce the possibility of contamination.
Understands and uses established quality procedures/controls.
Engages and leads staff in implementation of new quality procedures.
Establishes timeframes for achieving suitable quality levels.
Change Management	Agree	Unsure	Disagree	N/A
Works cooperatively with others to implement changes.
Assists others in understanding changes to the organization.
Inspires others to want to change.
Is an inspiration for others to accept the recent changes.
Effective in implementing new organizational vision and values.
Managing Risk	Agree	Unsure	Disagree	N/A
Is knowledgeable of standard risk management principles.
Aware of appropriate actions to minimize risks.
Uses risk management to be more effective in identifying and implementing projects.
Works effectively to transfers risk.
Tracks and monitors incidents that may increase the risk of adverse consequences.
Regulatory/Compliance	Agree	Unsure	Disagree	N/A
Formulates compliance policies and procedures.
Uses compliance reports to evaluate the effectiveness of compliance initiatives identifying areas of risk.
Coordinates with legal counsel in conducting audits of legal compliance.
Tracks employee participation in development opportunities as required by industry regulations.
Complies with regulatory requirements for the state.
Conflict Management	Agree	Unsure	Disagree	N/A
Attentively hears each person as they share their distinct viewpoints on the matter.
Addresses concerns about the availability of limited resources.
Promotes employee engagement to reduce tensions and negativity, creating an environment where conflicts are easily managed.
Values the diverse perspectives of others.
Seeks to achieve mutually acceptable outcomes.
Business Acumen	Agree	Unsure	Disagree	N/A
Understands the dynamics of our industry.
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Gathers important information from customers to make sure our products are relevant and useful.
Collects valuable customer insights to ensure our services meet their needs.
Organizational Fluency	Agree	Unsure	Disagree	N/A
Understands departmental policies and procedures.
Able to deal with sensitive issues with tact and professionalism.
Gets things done through the department.
Able to use corporate politics to advance department objectives.
Anticipates problems that may affect the department.

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.