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
Supports safety programs and procedures.
Committed to safety in the workplace.
Participates in safety training when available.
Develops safety guidelines for the department.
Works to implement corrective safety measures.
Continual Learning	Agree	Unsure	Disagree	N/A
Views setbacks as opportunities to learn from.
Builds on their strengths while addressing their weaknesses.
Seeks opportunities to grow in skills and knowledge.
Is open to new ideas and concepts.
Pursues self-improvement through continual learning.
Professional Development	Agree	Unsure	Disagree	N/A
Quickly acquire and apply new knowledge and skills when needed
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Encourages employees to take courses relevant to their job.
Seeks opportunities for professional development.
Contributing fully to the extent of their skills
Emotional Intelligence	Agree	Unsure	Disagree	N/A
Able to understand others' points of view.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to express themselves clearly.
Is attentive to emotional cues and interprets others' feelings correctly.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Goals	Agree	Unsure	Disagree	N/A
Sets high expectations and goals; encourages others to support the organization.
Achieves established goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Understands & contributes to development of strategic goals.
Makes sure that team members have a clear idea of our group's goals.
Results Oriented	Agree	Unsure	Disagree	N/A
Is considered a high achiever.
Determines the proper order for completion of the tasks.
Completes all required coursework.
Determines the objectives for the project.
Quickly analyzes the situation to determine the most pressing needs.
Managing Risk	Agree	Unsure	Disagree	N/A
Uses risk management to ensure smooth operations.
Seeks to capitalize on risks.
Seeks to add value to the company by embracing risk.
Performs monthly risk management assessments.
Understands the possible financial risks of different events.
Developing Others	Agree	Unsure	Disagree	N/A
Creates a work environment that fosters positive feedback to employees.
Encourages employees through recognition of positive changes in behavior.
Tries to ensure employees are ready to move to the next level.
Provides constructive feedback to others.
Sets performance objectives for subordinates that encourages development opportunities.
Others	Agree	Unsure	Disagree	N/A
Works across boundaries within the organization.
Is able to see issues from others' perspectives.
...treats others with respect and dignity.
Forms working relationships with employees from other departments.
Helpful
Global Perspective	Agree	Unsure	Disagree	N/A
Communicates effectively on a multi-lingual basis.
Works well with others from different cultural backgrounds.
Facilitates open communication with individuals from other countries.
Builds working relationships with others across cultures.
Is aware of the culture, behaviors, identities and beliefs of others.

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.