Performance - 360 Degree Feedback Survey Sample #13

Instructions

You are being requested to provide valuable feedback on the manager listed above. Your insights and observations are a crucial element in our continuous efforts to enhance our performance through this leadership development program. This feedback tool has been carefully designed to gather detailed and comprehensive input on the core competencies and role responsibilities that are integral to the ongoing success and growth of our organization.

We believe that your unique perspective, based on your interactions and experiences with this manager, will contribute significantly to identifying strengths, areas for improvement, and opportunities for professional growth. Your feedback will help us foster a culture of excellence, accountability, and continuous improvement within our leadership team.

As you complete the assessment form, please reflect on your interactions with this individual over the past six to twelve months. Your responses will be combined with feedback from others and presented to the manager to aid in their ongoing development. Rest assured, your comments will be shared anonymously, exactly as you write them.

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.



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Performance	Strongly Disagree	Disagree	Agree	Strongly Agree
Listens and responds to issues and problems
Effective in performing his/her job.
Sets a high standard for job performance.
Able to organize work.
Works effectively in the department.
...Overall Performance
Effectively organizes resources and plans
...Produce Quality
Shown significant improvement in job performance.
Action	Strongly Disagree	Disagree	Agree	Strongly Agree
Gladly accepts new challenges and works on them with urgency.
Anticipates critical incidents in the department and takes steps to mitigate their effect.
Takes charge without being asked.
Addresses safety issues immediately.
Assigns tasks to team members based on their strengths.
Collaboration	Strongly Disagree	Disagree	Agree	Strongly Agree
Develops networks and builds alliances across departments.
Engages with team members to build a collaborative work environment.
Willing to work with others to solve problems.
Uses digital tools to support collaborative efforts in document creation?
Recognizes and rewards the contributions of team members.
Empowering Others	Strongly Disagree	Disagree	Agree	Strongly Agree
Set clear goals for assignments.
Recognizes and rewards employees who make important decisions and take action when necessary.
Gives employees the opportunity to make their own decisions at work.
Acknowledges and appreciates employees for their proactive decision-making.
Allows for flexibility in the working hours.
Continual Improvement	Strongly Disagree	Disagree	Agree	Strongly Agree
Analyzes processes to determine areas for improvement.
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.
Promotes training and development opportunities to enhance job performance.
Open to the suggestions from others.
Clarity	Strongly Disagree	Disagree	Agree	Strongly Agree
Seeks to reduce ambiguity in messaging and documents.
Uses appropriate grammar and tense in communications.
Avoids creating ambiguity or mixed messages.
Maintains clarity in goals and objectives.
Clearly explains responsibilities to individuals.
Fiscal Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops budgets and plans for various programs and initiatives.
Effective in using Company's resources.
Keeps excellent records for financial transparency.
Ensures others follow the correct rules and regulations on fiscal matters.
Vision	Strongly Disagree	Disagree	Agree	Strongly Agree
Formulates strategies that reflect a shared vision for the organization.
Identifies problems and crafts solutions.
Brings the strategic vision to fruition by planning, coordinating, and executing necessary actions, while ensuring the team meets the overarching goals of the organization.
Develops an inspiring and ambitious vision of growth for the organization's future.
Communicates the vision effectively across the organization to motivate and guide employees.

45. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
46. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
47. Overall, please rate the effectiveness of [Participant Name Here].
    

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

    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.