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
Responsible for setting the vision of the department.
Works in a way that makes others want to work with her/him.
Behavior is ethical and honest.
Sets a good example.
Acts as a resource without removing individual responsibility.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Considers the other individual's point of view.
Is open and approachable
Addresses critical customer issues in a timely manner.
Offers constructive criticism to have a positive impact on performance.
Sees values in the diversity of individuals on the team.
Coaching	Agree	Unsure	Disagree	N/A
Provides clear, motivating, and constructive feedback.
Meets regularly with employees to coach them on areas that will enhance their performance
Addresses employee behavior problems effectively.
Conducts regular performance appraisals and feedback.
Develops the skills and capabilities of others.
Flexibility	Agree	Unsure	Disagree	N/A
Is open to alternative ways to accomplish goals
Able to adapt to new situations.
Adapts to circumstances as needed.
Identifies new opportunities to achieve goals
Implements changes as a result of having listened to employees
Quality	Agree	Unsure	Disagree	N/A
Reflects on what is working and what could be improved.
Corrects issues in a timely manner.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Encourages others to achieve high quality standards.
Encourages employees to produce the best quality products.
Problem Solving	Agree	Unsure	Disagree	N/A
Effective in solving problems.
Ability to develop innovative solutions to problems.
Finds creative ways to get things done with limited resources.
Solves problems using logic and insight.
Makes judgments based upon relevant information.
Results Oriented	Agree	Unsure	Disagree	N/A
Always willing to help coworkers to keep productions levels high.
Plans the best course of action to achieve the goal.
Completes all assigned tasks.
Responds to changing events to maintain progress toward achieving results.
Explains the "whys" behind organizational objectives
Others	Agree	Unsure	Disagree	N/A
Works across boundaries within the organization.
Includes others in the decision making processes.
Works effectively with people from other departments.
Forms working relationships with employees from other departments.
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.
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
Has positive interactions with individuals from different cultures and backgrounds.
Able to listen and understand others and discuss issues in a respectful way.
Respects individual differences.

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.