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
Behavior is ethical and honest.
Acts as a resource without removing individual responsibility.
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
Understands the core issues of conversations.
Promotes acceptance of diverse viewpoints from team members.
Demonstrates compassion and understanding of others.
Creates diverse teams of individuals with different backgrounds, skills, and abilities.
Coaching	Agree	Unsure	Disagree	N/A
Helps employees to maintain high personal standards.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Meets regularly with employees to coach them on areas that will enhance their performance
Develops the skills and capabilities of others.
Addresses employee behavior problems effectively.
Flexibility	Agree	Unsure	Disagree	N/A
Implements changes as a result of having listened to employees
Demonstrates adaptability in innovative thought processes.
Accommodates the needs of employees when requests for time off are made.
Willing to change strategies, operations, or processes in to meet new challenges or seize new opportunities.
Able to produce goods and services across a wide spectrum of business needs.
Quality	Agree	Unsure	Disagree	N/A
Systematically and thoroughly inspects products for consistency in meeting specifications.
Develops a quality manual to assist in troubleshooting issues and documenting the quality management system.
Regularly measures product specifications to ensure uniformity and quality control.
Analyzes quality improvement plans and initiatives.
Presents quality information and data in an easy to understand format.
Problem Solving	Agree	Unsure	Disagree	N/A
Is smooth and seamless in transitions between different ideas and approaches, avoiding getting stuck in one line of thinking.
Identifies the specific resources required to tackle different aspects of a problem and then assigns the resources where they'll have the greatest impact.
Uses creative thinking to develop new solutions to problems.
Implements solutions and evaluates results.
Implements solutions to solve the problem.
Results Oriented	Agree	Unsure	Disagree	N/A
Keeps track of progress toward the results.
Motivated by a strong desire to exceed performance standards.
Has a strong result orientation.
Explains the "whys" behind organizational objectives
Removes bureaucratic barriers to streamline processes.
Others	Agree	Unsure	Disagree	N/A
Is able to see issues from others' perspectives.
Works effectively with people from other departments.
Supports the efforts of other employees in implementing solutions to problems.
Treats others with respect and dignity.
Includes others in the decision making processes.
Global Perspective	Agree	Unsure	Disagree	N/A
Accepts setbacks and challenges in foreign markets as improvement opportunities
Communicates effectively on a multi-lingual basis.
Is able to work with individuals having different backgrounds and cultures.
Engages in problem solving with individuals outside of the country.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.

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.