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 .

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Safety	Agree	Unsure	Disagree	N/A
Commits adequate resources toward safety measures.
Performs work safely.
Develops a culture of safety.
Keeps accurate safety records.
Develops a strong safety culture.
Continual Learning	Agree	Unsure	Disagree	N/A
Pursues self-improvement through continual learning.
Is open to new ideas and concepts.
Sets relevant learning objectives and goals.
Takes charge of their training and skills enhancement.
Takes the initiative to learn new skills.
Professional Development	Agree	Unsure	Disagree	N/A
Quickly acquire and apply new knowledge and skills when needed
Encourages employees to take courses relevant to their job.
Allows employees to fully participate in employee training and professional development.
Seeks opportunities for continuous learning.
Keep themselves up-to-date of technical/professional issues
Emotional Intelligence	Agree	Unsure	Disagree	N/A
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to express themselves clearly.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Accurately perceives the emotional reactions of others.
Able to understand others' points of view.
Goals	Agree	Unsure	Disagree	N/A
Understands & contributes to development of strategic goals.
Achieves established goals.
Achieves goals.
Makes sure that team members have a clear idea of our group's goals.
Sets high expectations and goals; encourages others to support the organization.
Results Oriented	Agree	Unsure	Disagree	N/A
Identifies what needs to be accomplished.
Has a positive attitude that encourages others to continue supporting the production goals.
Highly motivated to complete tasks despite obstacles that may arise.
Gives extra effort to solve problems and get work done on time.
Determines the parts of the project that need completed first.
Managing Risk	Agree	Unsure	Disagree	N/A
Prioritizes the risks to determine the most pressing needs.
Creates dynamic and responsive enterprise risk management processes.
Quantifies current business practices to make better informed decisions.
Works within constraints of the organization.
Accurately perceives potential risks in the workplace and initiates preventative measures.
Developing Others	Agree	Unsure	Disagree	N/A
Creates opportunities for professional development.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Creates a work environment that fosters positive feedback to employees.
Supports the successes of other employees.
Encourages employees through recognition of positive changes in behavior.
Others	Agree	Unsure	Disagree	N/A
Forms working relationships with employees from other departments.
Is able to see issues from others' perspectives.
Treats others with respect and dignity.
Consistently demonstrates ability and willingness to trust others.
Helpful
Global Perspective	Agree	Unsure	Disagree	N/A
Facilitates open communication with individuals from other countries.
Builds working relationships with others across cultures.
Aligns personal vision with global strategies.
Analyzes global issues/problems that are having a large impact on the Company.
Respects individual differences.

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.