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
...takes personal responsibility for results.
Is a person you can trust.
Sets a good example.
Completes assigned work tasks.
Works in a way that makes others want to work with her/him.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Comes across as credible, knowledgeable and sincere
Applies appropriate communication techniques to the situation.
Demonstrates compassion and understanding of others.
Adapts management style to meet the needs of the individual or situation.
Is trusted by peers and co-workers; others are willing to confide in him/her
Coaching	Agree	Unsure	Disagree	N/A
Addresses employee behavior problems effectively.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Helps employees to maintain high personal standards.
Meets regularly with employees to coach them on areas that will enhance their performance
Develops the skills and capabilities of others.
Flexibility	Agree	Unsure	Disagree	N/A
Identifies new opportunities to achieve goals
Implements changes as a result of having listened to employees
Adapts to new organizational structures, policies, or procedures.
Open to the perspectives/viewpoints of others.
Can handle changes without complaining.
Quality	Agree	Unsure	Disagree	N/A
Corrects issues in a timely manner.
Reflects on what is working and what could be improved.
Encourages others to achieve high quality standards.
Holds employees accountable for their quality of work.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Problem Solving	Agree	Unsure	Disagree	N/A
Finds creative ways to get things done with limited resources.
Identifies and assesses all potential responses to a problem.
Understands the root causes of problems.
Is a good problem solver and decision maker
Implements effective solutions to critical problems.
Results Oriented	Agree	Unsure	Disagree	N/A
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Does not become distracted by non-issues or interruptions.
Inspires and motivates co-workers to be productive and energetic at work
Helps others when free-time is available.
Provides clear expectations for employees.
Others	Agree	Unsure	Disagree	N/A
Helpful
Treats others with respect and dignity.
Includes others in the decision making processes.
Is able to see issues from others' perspectives.
Consistently demonstrates ability and willingness to trust others.
Global Perspective	Agree	Unsure	Disagree	N/A
Analyzes global issues/problems that are having a large impact on the Company.
Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
Considers customers point of view when making decisions.
Is able to work with individuals having different backgrounds and cultures.
Demonstrates working knowledge of global transactions.

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.