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
Sets a good example
Sets a good example.
Completes assigned work tasks.
Sets high personal standards of performance.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Responds quickly to inquiries from potential customers.
Adapts management style to meet the needs of the individual or situation.
Demonstrates compassion and understanding of others.
Comes across as credible, knowledgeable and sincere
Is a role model for others demonstrating the importance of interpersonal skills.
Coaching	Agree	Unsure	Disagree	N/A
Conducts regular performance appraisals and feedback.
Meets regularly with employees to coach them on areas that will enhance their performance
Helps employees to understand responsibilities, authority, and expectations.
Provides clear, motivating, and constructive feedback.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Flexibility	Agree	Unsure	Disagree	N/A
Balances multiple perspectives to find common ground and innovative solutions.
Can handle changes without complaining.
Identifies new opportunities to achieve goals
Willing to change ideas or perceptions based on new information.
Effective in incorporating new ideas.
Quality	Agree	Unsure	Disagree	N/A
Creates a culture of quality standards in the workplace.
Engages and leads staff in implementation of new quality procedures.
Encourages employees to produce the best quality products.
Makes sure cleanliness standards are met to reduce the possibility of contamination.
Investigates critical incidents that impact quality.
Problem Solving	Agree	Unsure	Disagree	N/A
Generates alternative solutions to problems and challenges.
Effective in solving problems.
Understands the root causes of problems.
Works cooperatively with others to solve problems.
Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
Results Oriented	Agree	Unsure	Disagree	N/A
Determines the parts of the project that need completed first.
Determines the objectives for the project.
Plans the best course of action to achieve the goal.
Completed work exceeds standards.
Pursues performance benchmarks despite obstacles and setbacks.
Others	Agree	Unsure	Disagree	N/A
...treats others with respect and dignity.
Constructively receives criticism and suggestions from others.
Includes others in the decision making processes.
Is able to see issues from others' perspectives.
Able to see issues from others' perspectives.
Global Perspective	Agree	Unsure	Disagree	N/A
Is aware of the culture, behaviors, identities and beliefs of others.
Facilitates open communication with individuals from other countries.
Accepts setbacks and challenges in foreign markets as improvement opportunities
Applies knowledge of overseas markets.
Aligns personal vision with global strategies.

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.