Self-Management - 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.



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Self Management	Agree	Unsure	Disagree	N/A
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Analyzes interpersonal problems instead of reacting to them.
Consciously controls own negative emotions in order to keep team morale up.
Does not allow own emotions to interfere with the performance of others.
Steps away from a situation to process appropriate response.
Continual Improvement	Agree	Unsure	Disagree	N/A
Fosters a culture of open communication and continuous improvement.
Open to the suggestions from others.
Looks for ways to improve work processes and procedures.
Looks for ways to expand and learn new job skills.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Supervisory Skills	Agree	Unsure	Disagree	N/A
Communicates effectively to avoid issues, conflicts and errors on the job.
Determines which team members are to be promoted to the next higher level.
Others emulate this supervisor's enthusiasm for work.
Communicates effectively with employees.
Maintains the confidence and trust of employees.
Performance	Agree	Unsure	Disagree	N/A
Effectively organizes resources and plans
...Produce Quality
Has great overall performance
Works effectively in the department.
Able to organize work.
Administrative Skill	Agree	Unsure	Disagree	N/A
Performs scheduling and conference planning.
Opens, sorts, and distributes incoming correspondence, including faxes and email.
Prioritizes tasks to be completed within pre-established deadlines.
Implements and uses performance measures.
Enthusiastic about taking on challenging projects.
Accountability	Agree	Unsure	Disagree	N/A
Does not make excuses for being late for work.
Does not make excuses for missed deadlines.
Establishes performance standards for the team/department.
Requires employees to submit monthly reports of the work they performed.
Commits to leading the initiatives to solving critical issues.
Goals	Agree	Unsure	Disagree	N/A
Manages priorities and delegates work to efficiently complete goals.
Strategically allocates and optimizes resources to maximize efficiency and effectiveness in achieving goals.
Follows a structured plan to consistently monitor progress and make necessary adjustments.
Keeps abreast of current developments pertaining to the job
Delivers productive feedback and extends help to peers to accomplish their goals.
Technical	Agree	Unsure	Disagree	N/A
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Willingly shares information and expertise; sought out as resource by others
Seeks information from others as needed.
Is knowledgeable of procedures or systems necessary for the job.
Knows how to produce high quality products/work.
Trustworthy	Agree	Unsure	Disagree	N/A
Communicates an understanding of the other person's interests, needs and concerns.
Is a person you can trust.
Takes ownership, delivers on commitments
Is trustworthy; is someone I can trust.
Takes care to maintain confidential information.
Conflict Management	Agree	Unsure	Disagree	N/A
Seeks to remove misperceptions that may contribute toward conflict.
Identifies and takes steps to prevent potential confrontations.
Gathers patterns from conversations that inform broader organizational improvements.
Assists team members by helping them see the other point of view.
Views conflicts as opportunities to create constructive and novel solutions to problems.
Teamwork	Agree	Unsure	Disagree	N/A
Recognizes and respects the contributions and needs of each individual.
Emphasizes the importance of getting individuals to work as a team
Listens carefully to other team members.
Finds opportunities to recognize and reward team members.
Fosters respect and understanding among team members
Entrepreneurship	Agree	Unsure	Disagree	N/A
Is comfortable operating in an environment of uncertainty.
Finds unique ways to go around barriers to success.
Has a strategic awareness on how to promote the organization.
Exhibits determination and passion in completion of goals.
Understands the processes and various stages of business development.

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

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

    
    
62. Strengths
    
    
    
63. Areas for Development
    
    
    
64. Please give any final comments or suggestions for [Participant Name Here]'s assessment.