Safety - 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 .

Safety	Agree	Unsure	Disagree	N/A
Seeks to reduce the likelihood of accidents.
Points out behaviors in others that may be unsafe.
Supports our company's safety programs.
Encourages others to work safely.
Works to implement corrective safety measures.
Continual Learning	Agree	Unsure	Disagree	N/A
Improves on their skill sets.
Seeks opportunities to grow in skills and knowledge.
Participates in regular training offered.
Shares best practices with others and learns from others.
Views setbacks as opportunities to learn from.
Professional Development	Agree	Unsure	Disagree	N/A
Allows employees to fully participate in employee training and professional development.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Keep themselves up-to-date of technical/professional issues
Contributing fully to the extent of their skills
Seeks opportunities for professional development.
Emotional Intelligence	Agree	Unsure	Disagree	N/A
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to manage their own emotions.
Accurately perceives the emotional reactions of others.
Able to understand others' points of view.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Goals	Agree	Unsure	Disagree	N/A
Understands & contributes to development of strategic goals.
Achieves established goals.
Sets high expectations and goals; encourages others to support the organization.
Makes sure that I have a clear idea of our group's goals.
Goal Setting
Results Oriented	Agree	Unsure	Disagree	N/A
Encourages employees to give 100% to achieving high results.
Encourages a high-energy, fun work environment and coaches others on how to do the same
Has a strong result orientation.
Promptly and efficiently completes assigned tasks.
Views obstacles as opportunities to improve self.
Managing Risk	Agree	Unsure	Disagree	N/A
Conducts regular audit of the risk management framework.
Recognizes the potential financial impact of specific risks.
Rewards risky ideas that may yield significant benefits.
Takes calculated risks by effectively recognizing and managing them.
Determines how the risk management information is to be used.
Developing Others	Agree	Unsure	Disagree	N/A
Tries to ensure employees are ready to move to the next level.
Supports the successes of other employees.
Recognizes and celebrates accomplishments of others.
Encourages employees through recognition of positive changes in behavior.
Assesses employees' developmental needs.
Others	Agree	Unsure	Disagree	N/A
Works across boundaries within the organization.
Respects the opinions of other employees.
Forms working relationships with employees from other departments.
Treats others with respect and dignity.
Is able to see issues from others' perspectives.
Global Perspective	Agree	Unsure	Disagree	N/A
Respects individual differences.
Sets the example for team on importance of cultural awareness.
Understands how cultures differ and how these differences impact work behavior.
Works well with others from different cultural backgrounds.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.

51. Overall, please rate the effectiveness of [Participant Name Here].
    

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

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.