Responsibility - 360 Degree Feedback Survey Sample #13

Instructions

You have been selected to provide valuable feedback for the manager listed above. Your insights are an important part of [Participant]'s leadership development process. This tool is designed to gather broad and comprehensive feedback on the core competencies and role responsibilities that are crucial for the continuous success of our organization.

When responding to the assessment form, please consider your experiences working with this individual over the past six to twelve months. Reflect on specific instances, interactions, and overall performance that you have observed. Your responses will be combined with feedback from other colleagues to create a holistic view of the manager's strengths and areas for improvement. This collective feedback will be used to guide their ongoing professional development.

Please be candid and constructive in your comments, as they will be shared anonymously with the manager. Your feedback will be instrumental in helping them understand their impact on the team and the organization, and in identifying opportunities for growth. We appreciate your time and effort in contributing to this important process.

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	Strongly Disagree	Disagree	Agree	Strongly Agree
Acts as a resource without removing individual responsibility.
Holds herself / himself accountable to goals / objectives
Completes assigned work tasks.
Behavior is ethical and honest.
Responsible for setting the vision of the department.
Sets a good example.
Sets high personal standards of performance.
...takes personal responsibility for results.
Works in a way that makes others want to work with her/him.
Interpersonal Skills	Strongly Disagree	Disagree	Agree	Strongly Agree
Understands the core issues of conversations.
Maintains open and regular communication with others.
Expresses appreciation of other's work.
Gives good advice and suggestions to coworkers.
Uses knowledge and charisma rather than position, power, or coercion to influence others
Collaboration	Strongly Disagree	Disagree	Agree	Strongly Agree
Contributes resources and knowledge to help the team achieve its goals.
Creates an environment of open and transparent communication.
Builds relationships with suppliers to improve communications and reduce misunderstandings and delays.
Works cooperatively with others to solve problems.
Works with other experts to solve problems.
Partnering/Networking	Strongly Disagree	Disagree	Agree	Strongly Agree
Partners with peers to obtain influence within the Company.
Collaborates with others to accomplish goals and objectives.
Develops key business relationships with clients/customers.
Understands the potential implications of the partnership.
Builds alliances between departments and teams.
Recognition	Strongly Disagree	Disagree	Agree	Strongly Agree
Is sincerely interested in the suggestions of co-workers
Recognizes individuals for a specific outstanding achievement.
Says "thank you" to show appreciation for work of others.
Compliments other people when they do good work
Recognizes the abilities and skills of self and others
Others	Strongly Disagree	Disagree	Agree	Strongly Agree
Able to see issues from others' perspectives.
Is able to see issues from others' perspectives.
Supports the efforts of other employees in implementing solutions to problems.
Treats others with respect and dignity.
Consistently demonstrates ability and willingness to trust others.
Problem Solving	Strongly Disagree	Disagree	Agree	Strongly Agree
Implements effective solutions to critical problems.
Identifies and assesses all potential responses to a problem.
Is a good problem solver and decision maker
Generates alternative solutions to problems and challenges.
Ability to solve problems at root cause rather than at symptom level.
Results Oriented	Strongly Disagree	Disagree	Agree	Strongly Agree
Removes bureaucratic barriers to streamline processes.
Recognizes the problem that needs to be solved.
Sets priorities for tasks to be completed.
Plans the best course of action to achieve the goal.
Identifies what needs to be accomplished.

45. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
46. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
47. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.