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
Recognizes the abilities and skills of self and others
Finds opportunities to recognize others.
Offers recognition in a timely manner.
Lets employees know when they have done well
Is sincerely interested in the suggestions of co-workers
Accountability	Agree	Unsure	Disagree	N/A
Takes responsibility for their actions and admits mistakes openly.
Is someone you can trust.
Consistently strives to complete work on time or ahead of schedule.
Accepts accountability for their work.
Acts like an owner when they make decisions.
Emotional Intelligence	Agree	Unsure	Disagree	N/A
Is able to express themselves clearly.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Accurately perceives the emotional reactions of others.
Able to understand others' points of view.
Is able to manage their own emotions.
Persuasion and Influence	Agree	Unsure	Disagree	N/A
Attempts to persuade others rather than simply control them.
Ensures stakeholders are involved in the decision making process.
Develops a good rapport with others.
Able to express own goals and needs.
Seeks to obtain consensus or compromise.
Change Management	Agree	Unsure	Disagree	N/A
Effective in implementing new organizational vision and values.
Inspires others to accept changes.
Develops plans for following through on the changes.
Able to get team members to change their attitudes.
Supports the Company's efforts to implement changes.
Excellence	Agree	Unsure	Disagree	N/A
Demonstrates the functional or technical skills necessary to do their job.
Takes a lot of pride in their work.
Can be counted on to add value wherever they are involved.
Produces high quality work.
Is planful and organized.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Is a committed and reliable partner.
Embraces the differences in individuals that comprise the team.
Demonstrates a high degree of ethics and integrity in the workplace.
Demonstrates positive behaviors for others to follow.
Uses tact, compassion, and sensitivity in interactions with others.
Co-worker Development	Agree	Unsure	Disagree	N/A
Gives others development opportunities through project assignments and increased job responsibilities
Adapts coaching and mentoring approach to meet the style or needs of individuals
Works to identify root causes of performance problems
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
Negotiation	Agree	Unsure	Disagree	N/A
Is flexible in responses.
Identifies verbal and nonverbal cues to help interpret actions and messages.
Collects information from various stakeholders, each with their own viewpoints, data, and interests.
Listens to all sides without bias and makes fair decisions.
Understands the other person's needs, concerns, and motivations.
Global Perspective	Agree	Unsure	Disagree	N/A
Analyzes global issues/problems that are having a large impact on the Company.
Understands how cultures differ and how these differences impact work behavior.
Sets the example for team on importance of cultural awareness.
Aligns personal vision with global strategies.
Communicates effectively on a multi-lingual basis.

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.