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
Lets employees know when they have done well
Finds opportunities to recognize others.
Recognizes individuals for a specific outstanding achievement.
Compliments other people when they do good work
Readily shares credit and gives others opportunity for visibility.
Accountability	Agree	Unsure	Disagree	N/A
Defines roles, rights, and responsibilities of the team.
Acts like an owner when they make decisions.
Is aware of problems or issues that may affect the organization.
Implements and facilitates controls and processes that maintain the integrity of the organization.
Takes ownership of mistakes and learns from them.
Emotional Intelligence	Agree	Unsure	Disagree	N/A
Is attentive to emotional cues and interprets others' feelings correctly.
Accurately perceives the emotional reactions of others.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to manage their own emotions.
Is able to express themselves clearly.
Persuasion and Influence	Agree	Unsure	Disagree	N/A
Attempts to persuade others rather than simply control them.
Understanding what others need.
Able to express own goals and needs.
Develops a good rapport with others.
Persuades others to consider alternative points of view.
Change Management	Agree	Unsure	Disagree	N/A
Able to get team members to change their attitudes.
Inspires others to want to change.
Develops a strategy for implementing changes.
Assists others in understanding changes to the organization.
Able to get department employees to accept new changes.
Excellence	Agree	Unsure	Disagree	N/A
Demonstrates the functional or technical skills necessary to do their job.
Keeps themselves and others focused on constant improvement.
Produces high quality work.
Is planful and organized.
Takes a lot of pride in their work.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Is trusted by peers and co-workers; others are willing to confide in him/her
Is a role model for others
Demonstrates willingness to work with others.
Uses knowledge and charisma rather than position, power, or coercion to influence others
Applies appropriate communication techniques to the situation.
Co-worker Development	Agree	Unsure	Disagree	N/A
Works to identify root causes of performance problems
Gives others development opportunities through project assignments and increased job responsibilities
Adapts coaching and mentoring approach to meet the style or needs of individuals
Provides ongoing feedback to co-workers on their development progress
Takes immediate action on poor performance
Negotiation	Agree	Unsure	Disagree	N/A
Able to adapt to changing situations.
Conducts necessary preparations before engaging in negotiations.
Able to influence others to accept certain positions.
Able to say "no" when it is essential to maintaining quality and high standards.
Actively listens to conversations to be able to recall important details later.
Global Perspective	Agree	Unsure	Disagree	N/A
Analyzes global issues/problems that are having a large impact on the Company.
Able to work with others from different cultures and countries.
Accepts setbacks and challenges in foreign markets as improvement opportunities
Demonstrates a curiosity about diverse individuals and cultures.
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.

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.