Planning- 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.



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Planning	Agree	Unsure	Disagree	N/A
Assesses the potential impact of changes to the strategic plan.
Allows input from others for the 5-year plan.
Notifies staff when the plan is not on schedule.
Assigns the right tasks to the right people and holds them accountable.
Creates to-do lists to make sure nothing is missed.
Strategic Focus	Agree	Unsure	Disagree	N/A
Makes sure the objectives are clearly communicated and understood.
Makes strategic changes to stay ahead of changes in the business environment.
Lets employees know how their roles contribute toward the achievement of strategic company objectives.
Understands & contributes to development of strategic goals.
Strategically positions resources to meet the needs of field based employees.
Action	Agree	Unsure	Disagree	N/A
Determines the best person for a specific task within the team.
Overcomes obstacles that may impede progress on a task.
Stays committed to goals even when progress is slow.
Stays focused and productive when there's work to be done.
Avoids "Analysis Paralysis" through action.
Professional Development	Agree	Unsure	Disagree	N/A
Contributing fully to the extent of their skills
Quickly acquire and apply new knowledge and skills when needed
Keep themselves up-to-date of technical/professional issues
Allows employees to fully participate in employee training and professional development.
Seeks opportunities for continuous learning.
Punctuality	Agree	Unsure	Disagree	N/A
Responds to requests for information in a timely manner.
Maintains an efficient schedule of activities.
Starts meetings on time.
Starts the workday when scheduled.
Conducts appointments at scheduled start time.
Management	Agree	Unsure	Disagree	N/A
Transforms personal discipline into collective action, inspiring others to rise to the occasion.
Demonstrates high standards of conduct and behavior in the department.
Defines what success looks like for the team and ensures everyone is working toward the same outcomes.
Monitors progress to guarantee timely execution of key deliverables.
Embodies a values-driven approach to work that energizes and galvanizes the team.
Supervisory Skills	Agree	Unsure	Disagree	N/A
Successful in resolving personnel conflicts.
Offers non-monetary rewards as incentives for employees.
Appropriately recognizes and rewards employees.
Treats all staff equitably.
Prioritizes coaching and constructive feedback to correct behavior.
Analytical	Agree	Unsure	Disagree	N/A
Recognizes that all parts of a business are connected where a change in one area can impact others in unexpected ways.
Uses algorithms and quantitative models to determine the costs/benefits of different programs based on mathematical and statistical analysis.
Uses cognitive skills or strategies that increase the probability of a desirable outcome.
Identifies opportunities for progress and innovation.
Evaluates the validity and reliability of data and research findings.
Time Management	Agree	Unsure	Disagree	N/A
Approaches work with a sense of urgency.
Effectively uses subordinates to help get more work done by the department.
Confronts significant problems directly to reduce their impact on the schedule.
Gets more accomplished than others in the same amount of time.
Works on critical tasks as quickly as possible.
Juggling Multiple Responsibilities	Agree	Unsure	Disagree	N/A
Organizes tasks for the most efficient order of completion.
Plans and organizes continuously while performing all other responsibilities and activities.
Ranks the importance of tasks to make sure critical tasks are completed first.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
Technology Use/Management	Agree	Unsure	Disagree	N/A
Applies complex rules and regulations to maintain optimal system performance.
Supports employee training and development initiatives regarding implementation of technology.
Understands and is committed to implementing new technologies.
Maximizes the use of new technology to deliver products and services.
Uses technology in decision making and problem solving.
Safety	Agree	Unsure	Disagree	N/A
Performs work safely.
Develops a sustainable safety culture.
Ensures compliance with safety regulations.
Creates accurate and effective measures of safety.
Mitigates hazards and safety issues that arise.

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.