Responsibility - 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 .

Responsible	Agree	Unsure	Disagree	N/A
Holds herself / himself accountable to goals / objectives
Behavior is ethical and honest.
Responsible for setting the vision of the department.
Is a person you can trust.
Sets a good example.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Assists employees that need help.
Easily approachable.
Pays close attention to what is being communicated verbally and nonverbally.
Anticipates the concerns of other employees.
Is willing to lend a hand to those in the department who need help.
Coaching	Agree	Unsure	Disagree	N/A
Meets regularly with employees to coach them on areas that will enhance their performance
Provides clear, motivating, and constructive feedback.
Helps employees to understand responsibilities, authority, and expectations.
Conducts regular performance appraisals and feedback.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Flexibility	Agree	Unsure	Disagree	N/A
Fosters a culture where diverse perspectives are valued allowing the team to adapt more easily to changes and draw on a wider range of ideas and solutions.
Changes strategies based on new information.
Demonstrates adaptability in innovative thought processes.
Maintains an adaptive mindset crucial for navigating the dynamic challenges and opportunities that arise in business environments.
Able to integrate the latest tools and methods without causing disruption.
Quality	Agree	Unsure	Disagree	N/A
Able to anticipate quality issues and take preventative actions.
Quickly identifies critical issues impacting quality.
Proposes a variety of solutions to address quality needs.
Competently and accurately analyzes quality measures.
Develops and maintains quality control checklists for the manufacturing department.
Problem Solving	Agree	Unsure	Disagree	N/A
Is a good problem solver and decision maker
Able to balance the needs of different people in a solution to a problem.
Ability to solve problems at root cause rather than at symptom level.
Implements effective solutions to critical problems.
Makes judgments based upon relevant information.
Results Oriented	Agree	Unsure	Disagree	N/A
Achieves performance benchmarks.
Determines the objectives for the project.
Sets objectives for the department.
Encourages employees to give 100% to achieving high results.
Strives to exceed performance benchmarks.
Others	Agree	Unsure	Disagree	N/A
Works effectively with people from other departments.
...treats others with respect and dignity.
Supports the efforts of other employees in implementing solutions to problems.
Includes others in the decision making processes.
Helpful
Global Perspective	Agree	Unsure	Disagree	N/A
Understands global systems such as the global economy.
Applies knowledge of overseas markets.
Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
Creates an environment where individual differences are valued and supported.

46. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
47. Strengths
    
    
    
48. Areas for Development
    
    
    
49. Please give any final comments or suggestions for [Participant Name Here]'s assessment.