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 .

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Results Oriented	Strongly Disagree	Disagree	Agree	Strongly Agree
Prioritizes tasks to best achieve the results.
Completes urgent tasks first.
Gives extra effort to solve problems and get work done on time.
Recognizes the problem that needs to be solved.
Prioritizes goals to complete those in urgent need first.
Promptly and efficiently completes assigned tasks.
Sets important goals for the department.
Removes bureaucratic barriers to streamline processes.
Establishes benchmarks to be met when working on projects.
Collaboration	Strongly Disagree	Disagree	Agree	Strongly Agree
Works to get buy-in of individuals based on common good of business.
Respects individual differences that contribute to solving problems.
Creates a culture that encourages understanding and valuing diverse perspectives to effectively resolve conflicts.
Collaborates with others to resolve conflicts constructively.
Is tactful, compassionate and sensitive to the needs of others.
Teamwork	Strongly Disagree	Disagree	Agree	Strongly Agree
Lets team members know when they have done well.
Works well with other team members.
Helps the team to bounce back from obstacles.
Makes sure each team member participates in the task.
Focuses on understanding the other team member's message.
Flexibility	Strongly Disagree	Disagree	Agree	Strongly Agree
Is flexible in responding to customer needs.
Able to make changes to their leadership style after receiving constructive feedback through the performance review.
Swiftly adapts to changes, anticipates challenges and takes preemptive actions.
Can handle changes without complaining.
Incorporates new skills fluently.
Feedback	Strongly Disagree	Disagree	Agree	Strongly Agree
Is easy to approach with ideas and opinions.
Seeks feedback to enhance performance.
Is visible and approachable.
Shares past experiences with others as learning opportunities.
Looks to others for input.
Cultural Awareness	Strongly Disagree	Disagree	Agree	Strongly Agree
Fosters a diverse workforce free from discrimination and harassment.
Is aware of differences in how individuals from other cultures greet one another.
Encourages a work environment where individual differences are valued.
Is aware of the similarities and differences among and between cultural groups.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Time Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Prepares to-do lists for the project tasks.
Is concerned about adhering to the schedule.
Stays undistracted by slower coworkers.
Takes the initiative to tackle critical issues earlier rather than later.
Completes work on a timely basis.

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.