Recognition- 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 .

Recognition	Agree	Unsure	Disagree	N/A
Offers recognition in a timely manner.
Recognizes individuals for a specific outstanding achievement.
Lets employees know when they have done well
Compliments other people when they do good work
Readily shares credit and gives others opportunity for visibility.
Accountability	Agree	Unsure	Disagree	N/A
Exhibits a sense of ownership of outcomes and results.
Ensures that employee objectives are aligned with the organization's objectives.
Takes responsibility for the direction of the team.
Is personally invested in the success of the organization.
Accepts personal responsibility for not meeting expectations.
Emotional Intelligence	Agree	Unsure	Disagree	N/A
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to express themselves clearly.
Able to understand others' points of view.
Is able to manage their own emotions.
Accurately perceives the emotional reactions of others.
Persuasion and Influence	Agree	Unsure	Disagree	N/A
Understanding what others need.
Seeks to obtain consensus or compromise.
Ensures stakeholders are involved in the decision making process.
Persuades others to consider alternative points of view.
Communicates effectively with others.
Change Management	Agree	Unsure	Disagree	N/A
Able to get team members to change their attitudes.
Adopts changes to set and example for others to follow.
Is a leading force driving changes.
Facilitates change with minimal resistance.
Works cooperatively with others to implement changes.
Excellence	Agree	Unsure	Disagree	N/A
Is planful and organized.
Keeps themselves and others focused on constant improvement.
Produces high quality work.
Can be counted on to add value wherever they are involved.
Demonstrates the analytical skills to do their job.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Maintains open and regular communication with others.
Respects other members of the team/department.
Strives to lead by example to demonstrate the value of interpersonal relationships.
Builds a strong rapport with co-workers.
Keeps commitments made with coworkers.
Co-worker Development	Agree	Unsure	Disagree	N/A
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
Works to identify root causes of performance problems
Negotiation	Agree	Unsure	Disagree	N/A
Manages emotions to reduce the impact of negativity.
Makes initial offers based on high aspirations conveying a robust BATNA (Best Alternative to a Negotiated Settlement).
Changes communication styles to meet the listener's needs.
Creates a decisive, team-oriented environment; clarifies goals; and outlines a strategic agenda.
Establishes a strong, cooperative atmosphere; defines expectations; and presents a well-structured agenda aligned with key priorities.
Global Perspective	Agree	Unsure	Disagree	N/A
Cooperates with others on a global scale.
Considers customers point of view when making decisions.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
Attends training seminars and conferences to increase skills in working with others globally.
Forms strong client relationships with international partners.

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.