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 .

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Responsible	Agree	Unsure	Disagree	N/A
Sets high personal standards of performance.
...takes personal responsibility for results.
Behavior is ethical and honest.
Works in a way that makes others want to work with her/him.
Acts as a resource without removing individual responsibility.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Is willing to lend a hand to those in the department who need help.
Creates diverse teams of individuals with different backgrounds, skills, and abilities.
Maintains open and regular communication with others.
Offers constructive criticism to have a positive impact on performance.
Gives constructive feedback on performance reviews.
Coaching	Agree	Unsure	Disagree	N/A
Asks questions to encourage deeper engagement and active participation, helping the employee uncover insights and solutions on their own.
Listens to subordinates thoughts, ideas, and input.
Offers impactful and customized coaching.
Sets aside time for formal coaching discussions.
Provides guidance and feedback to help accomplish a task or solve a problem.
Flexibility	Agree	Unsure	Disagree	N/A
Capable of adapting workflows to accommodate new regulations or policies.
Shows a readiness to adapt and optimize.
Able to adapt to new situations.
Able to adapt processes in response to critical incidents that impact the workflow.
Willing to change strategies, operations, or processes in to meet new challenges or seize new opportunities.
Quality	Agree	Unsure	Disagree	N/A
Able to identify quality issues critical to the organization.
Is flexible in addressing issues related to quality.
Competently and accurately analyzes quality measures.
Maintains detailed instructions to ensure consistency and quality in the production line.
Holds employees accountable for their quality of work.
Problem Solving	Agree	Unsure	Disagree	N/A
Analyzes the potential success of proposed solutions.
Quantifies the discrepancy between expected outcomes and measures of performance.
Creates an environment where team members feel free to share their thoughts and ideas without fear of criticism.
Utilizes a variety of approaches and tools to tackle issues in various contexts.
Generates innovative and practical ideas and approaches.
Results Oriented	Agree	Unsure	Disagree	N/A
Shares lessons learned from failures and use them to guide future decisions.
Celebrates team achievements to reinforce a culture of excellence.
Reinforces a "can-do" attitude that helps overcome inertia or resistance.
Makes changes to the plans if it will result in increased output.
Responds to changing events to maintain progress toward achieving results.
Others	Agree	Unsure	Disagree	N/A
Consistently demonstrates ability and willingness to trust others.
Supports the efforts of other employees in implementing solutions to problems.
Includes others in the decision making processes.
Works across boundaries within the organization.
Constructively receives criticism and suggestions from others.
Global Perspective	Agree	Unsure	Disagree	N/A
Understands and appreciates the perspectives offered by others with different cultural backgrounds.
Forms strong client relationships with international partners.
Respects individual differences.
Has positive interactions with individuals from different cultures and backgrounds.
Engages in problem solving with individuals outside of the country.

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.