Performance - 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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Performance	Agree	Unsure	Disagree	N/A
...Produce Quality
Effective in performing his/her job.
Works well in this position.
Listens and responds to issues and problems
Shown significant improvement in job performance.
Goals	Agree	Unsure	Disagree	N/A
Achieves established goals.
Establishes and documents goals and objectives.
Sets high expectations and goals; encourages others to support the organization.
Achieves goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Results Oriented	Agree	Unsure	Disagree	N/A
Creates measures of performance to track progress.
Motivated by a strong desire to exceed performance standards.
Gives extra effort to solve problems and get work done on time.
Helps the team maintain focus on the goals.
Determines the parts of the project that need completed first.
Excellence	Agree	Unsure	Disagree	N/A
Is planful and organized.
Produces high quality work.
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
Keeps themselves and others focused on constant improvement.
Passion To Learn	Agree	Unsure	Disagree	N/A
Enhances value to the company through additional training and development.
Holds self and associates accountable for goal achievement.
Is open minded and curious about learning new skills.
Creates an environment that supports personal development and exploration.
Takes initiative for own learning and development.
Continual Learning	Agree	Unsure	Disagree	N/A
Seeks opportunities to grow in skills and knowledge.
Views setbacks as opportunities to learn from.
Pursues self-improvement through continual learning.
Takes charge of their training and skills enhancement.
Takes the initiative to learn new skills.
Continual Improvement	Agree	Unsure	Disagree	N/A
Analyzes processes to determine areas for improvement.
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand current job responsibilities.
Looks for ways to expand and learn new job skills.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Persuasion and Influence	Agree	Unsure	Disagree	N/A
Persuades others to consider alternative points of view.
Communicates effectively with others.
Ensures stakeholders are involved in the decision making process.
Develops a good rapport with others.
Seeks to obtain consensus or compromise.
Client Focus	Agree	Unsure	Disagree	N/A
Is above average in addressing the needs of the clients.
Understands the needs of the client.
Anticipates client needs.
Identifies the core needs of the client.
Makes sure team members understand the issues faced by the client.
Customer Focus	Agree	Unsure	Disagree	N/A
Fulfills commitments made to customers.
Uses customer feedback to help improve products and services.
Documents customer interactions.
Responds to the needs of the customer.
Creates documents that meet the customer's specifications.
Conflict Management	Agree	Unsure	Disagree	N/A
Tries to understand others' point of view before making judgments
Addresses concerns about the availability of limited resources.
Establishes roles and responsibilities of team members.
Actively engages both parties to voluntarily collaborate and resolve their differences.
Seeks to maintain positive relationships with coworkers.
Fiscal Management	Agree	Unsure	Disagree	N/A
Develops budgets and plans for various programs and initiatives.
Provides budgeting and accounting support to the Company.
Effective in using Company's resources.
Monitors spending.
Keeps excellent records for financial transparency.

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

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

    
    
62. Strengths
    
    
    
63. Areas for Development
    
    
    
64. Please give any final comments or suggestions for [Participant Name Here]'s assessment.