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
Recognizes team members who offer a significant contribution to a project.
Is sincerely interested in the suggestions of co-workers
Reinforces and rewards employees for accomplishing necessary goals.
Readily shares credit and gives others opportunity for visibility.
Accountability	Agree	Unsure	Disagree	N/A
Works diligently for the success of the team.
Develops goals and establishes objective measures of success.
Takes personal responsibility for the quality of their work.
Fully embraces the responsibilities that contribute to our departmental success.
Willingly accepts the consequences for their actions.
Emotional Intelligence	Agree	Unsure	Disagree	N/A
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Accurately perceives the emotional reactions of others.
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to control their own emotions.
Is able to manage their own emotions.
Persuasion and Influence	Agree	Unsure	Disagree	N/A
Develops a good rapport with others.
Has excellent influencing/negotiating skills.
Attempts to persuade others rather than simply control them.
Persuades others to consider alternative points of view.
Understanding what others need.
Change Management	Agree	Unsure	Disagree	N/A
Develops a strategy for implementing changes.
Effective in dealing with ambiguous and challenging situations.
Develops plans for following through on the changes.
Facilitates change with minimal resistance.
Assists others in understanding changes to the organization.
Excellence	Agree	Unsure	Disagree	N/A
Demonstrates the analytical skills to do their job.
Keeps themselves and others focused on constant improvement.
Can be counted on to add value wherever they are involved.
Demonstrates the functional or technical skills necessary to do their job.
Is planful and organized.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Takes time to recognize the efforts of others.
Gives credit where credit is due.
Uses tact, compassion, and sensitivity in interactions with others.
Sees values in the diversity of individuals on the team.
Is open and approachable
Co-worker Development	Agree	Unsure	Disagree	N/A
Adapts coaching and mentoring approach to meet the style or needs of individuals
Works to identify root causes of performance problems
Takes immediate action on poor performance
Gives others development opportunities through project assignments and increased job responsibilities
Sets and clearly communicates expectations, performance goals, and measurements to others
Negotiation	Agree	Unsure	Disagree	N/A
Stays composed and counters aggressive negotiation tactics by reframing unreasonable proposals or actions.
Clearly explains the issues and interests at the start of negotiations.
Able to influence others to accept certain positions.
Adapts strategies to better meet the needs of the moment.
Identifies goals and objectives desired as well as the strengths and weaknesses currently possessed.
Global Perspective	Agree	Unsure	Disagree	N/A
Creates an environment where individual differences are valued and supported.
Is aware of the culture, behaviors, identities and beliefs of others.
Exemplifies the skills of a global worker.
Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
Engages in problem solving with individuals outside of the country.

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.