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
Closely follows the plan established for the department.
Develops a strategic plan to reduce costs in the department.
Prioritizes plans based on a cost/benefit analysis.
Involves relevant coworkers in the development of the plan.
Has developed an effective strategic plan.
Strategic Focus	Agree	Unsure	Disagree	N/A
Supports changes being recommended from senior management.
Ensures adherence to the strategy to sustain achievement of targeted levels of organizational performance.
Assigns individuals the responsibility of keeping track of progress toward achieving milestones.
Identifies sources for developing a global competitive advantage for the company.
Looks for opportunities to enhance contributions to the bottom line.
Action	Agree	Unsure	Disagree	N/A
Undertakes actions to achieve specific goals.
Persists in work despite obstacles encountered.
Effectively makes decisions
Maintains a sense of urgency in daily work routines.
Creates performance measures to ensure action by the department.
Professional Development	Agree	Unsure	Disagree	N/A
Keep themselves up-to-date of technical/professional issues
Contributing fully to the extent of their skills
Seeks opportunities for professional development.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Quickly acquire and apply new knowledge and skills when needed
Punctuality	Agree	Unsure	Disagree	N/A
Conducts appointments at scheduled start time.
Invoices clients on a timely basis.
Avoids making personal phone calls during working hours.
Starts the workday when scheduled.
Starts meetings on time.
Management	Agree	Unsure	Disagree	N/A
Delegate tasks effectively
Sets an example for others to follow
Is ready to offer help
Keep staff informed about what is happening in the company
Takes responsibility for things that go wrong
Supervisory Skills	Agree	Unsure	Disagree	N/A
Delegates effectively.
Allows employees to make their own decisions.
Sets clear expectations for acceptable performance.
Successfully mediates conflicts between employees.
Resolves personnel problems quickly and effectively.
Analytical	Agree	Unsure	Disagree	N/A
Connects experiences, analyzes the facts and spots issues across a wide array of legal and business issues to see patterns and draw conclusions not readily apparent to others.
Evaluates the validity and reliability of data and research findings.
Determines if facts are consistent across multiple sources.
Is precise in the measurement of variables, leading to more accurate data collection.
Identifies deviations from stated goals and objectives.
Time Management	Agree	Unsure	Disagree	N/A
Prioritizes completion of high-impact assignments.
Takes the initiative to tackle critical issues earlier rather than later.
Is always on time for meetings.
Delegates as many repetitive tasks as possible to maximize the amount of work being done.
Sets clearly defined goals.
Juggling Multiple Responsibilities	Agree	Unsure	Disagree	N/A
Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
Ensures that assignments are prioritized according to the needs of the department/company.
Keeps track of multiple assignments and deadlines.
Organizes tasks for the most efficient order of completion.
Assigns tasks based on skills of team members.
Technology Use/Management	Agree	Unsure	Disagree	N/A
Adopts the implementation of new technology into the workplace.
Understands and is committed to implementing new technologies.
Uses technology in decision making and problem solving.
Supports employee training and development initiatives regarding implementation of technology.
Applies complex rules and regulations to maintain optimal system performance.
Safety	Agree	Unsure	Disagree	N/A
Encourages others to attend safety training.
Committed to safety in the workplace.
Participates in safety training when available.
Ensures compliance with safety regulations.
Works to implement corrective safety measures.

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.