Results Oriented - 360 Degree Feedback Survey Sample #13

Instructions

You are being requested to provide valuable feedback on the manager listed above. Your insights and observations are a crucial element in our continuous efforts to enhance our performance through this leadership development program. This feedback tool has been carefully designed to gather detailed and comprehensive input on the core competencies and role responsibilities that are integral to the ongoing success and growth of our organization.

We believe that your unique perspective, based on your interactions and experiences with this manager, will contribute significantly to identifying strengths, areas for improvement, and opportunities for professional growth. Your feedback will help us foster a culture of excellence, accountability, and continuous improvement within our leadership team.

As you complete the assessment form, please reflect on your interactions with this individual over the past six to twelve months. Your responses will be combined with feedback from others and presented to the manager to aid in their ongoing development. Rest assured, your comments will be shared anonymously, exactly as you write them.

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 .

Results Oriented	Strongly Disagree	Disagree	Agree	Strongly Agree
Sets priorities for tasks to be completed.
Flexible and willing to change the strategy to better achieve the objectives.
Identifies what needs to be accomplished.
Sets challenging goals to be achieved.
Makes changes to the plans if it will result in increased output.
Highly motivated to complete tasks despite obstacles that may arise.
Sets the objectives for the team.
Gives extra effort to solve problems and get work done on time.
Responds to changing events to maintain progress toward achieving results.
Collaboration	Strongly Disagree	Disagree	Agree	Strongly Agree
Builds an environment of trust and respect to encourage risk-taking, innovation, and sharing of ideas.
Fosters a collaborative work environment where mutual inspiration leads to innovative problem-solving.
Encourages team members to offer opinions and ideas.
Collaborates with others to resolve conflicts constructively.
Gains the cooperation of others to accomplish common goals and objectives.
Teamwork	Strongly Disagree	Disagree	Agree	Strongly Agree
Helps the team exercise good judgment by making sound and informed decisions.
Shows respect for other team members.
Encourages collaboration with other departments.
Identifies and resolves conflicts within the team to increase team effectiveness
Listens and is attentive to other team members.
Flexibility	Strongly Disagree	Disagree	Agree	Strongly Agree
Fosters a culture where diverse perspectives are valued allowing the team to adapt more easily to changes and draw on a wider range of ideas and solutions.
Continuously learning and adapting new techniques to address evolving challenges.
Accommodates the needs of employees as best as possible when requests for time off are made.
Encourages flexibility in the onboarding process.
Encourages others to adopt new procedures.
Feedback	Strongly Disagree	Disagree	Agree	Strongly Agree
Accepts the views of others.
Seeks feedback to enhance performance.
Is easy to approach with ideas and opinions.
Considers other's opinion and suggestions.
Shares past experiences with others as learning opportunities.
Cultural Awareness	Strongly Disagree	Disagree	Agree	Strongly Agree
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Views diversity as a strength, not as an issue.
Acknowledges their own biases in cultural interactions.
Recognizes and values individual and cultural differences.
Understands how implicit biases can affect decisions, communication and productivity.
Time Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Avoids spending time on non-work related activities.
Avoids being distracted by people who are working at a slower pace.
Avoids distractions from personal phone or other personal devices.
Usually works with a sense of urgency.
Is good at keeping track of time and avoiding getting behind schedule.

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

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

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