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.



Please complete your response by .

Self Management	Agree	Unsure	Disagree	N/A
Uses patience and self-control in working with customers and associates.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Consciously controls own negative emotions in order to keep team morale up.
Continual Improvement	Agree	Unsure	Disagree	N/A
Looks for ways to expand and learn new job skills.
Analyzes processes to determine areas for improvement.
Open to the suggestions from others.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Supervisory Skills	Agree	Unsure	Disagree	N/A
Communicates on a daily basis with the team at the start of each shift.
Enforces workplace rules fairly.
Is diligent about properly documenting disciplinary actions.
Willing to consider a spectrum of disciplinary measures, ranging from formal warnings to unpaid leave.
Informs employees of what tasks need to be completed on each shift.
Performance	Agree	Unsure	Disagree	N/A
Effectively organizes resources and plans
Effective in performing his/her job.
Has great overall performance
Listens and responds to issues and problems
Shown significant improvement in job performance.
Administrative Skill	Agree	Unsure	Disagree	N/A
Enthusiastic about taking on challenging projects.
Accurately implements contract provisions.
Has strong technical/computer skills.
Takes responsibility for decisions.
High attention to detail.
Accountability	Agree	Unsure	Disagree	N/A
Works hard to ensure the success of the department.
Continues to work diligently on a problem despite setbacks.
Regularly leads the way when helping the team troubleshoot various issues.
Honors the commitments and promises made to customers/clients.
Documents performance goals through an individual development plan.
Goals	Agree	Unsure	Disagree	N/A
Sets high expectations and goals; encourages others to support the organization.
Achieves established goals.
Makes sure that I have a clear idea of our group's goals.
Establishes and documents goals and objectives.
Goal Setting
Technical	Agree	Unsure	Disagree	N/A
Seeks information from others as needed.
Willingly shares his/her technical expertise; sought out as resource by others
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Is knowledgeable of procedures or systems necessary for the job.
Demonstrates mastery of the technical competencies required in his/her work.
Trustworthy	Agree	Unsure	Disagree	N/A
Takes ownership, delivers on commitments
Is a person you can trust.
Takes care to maintain confidential information.
Communicates an understanding of the other person's interests, needs and concerns.
Delivers on promises made.
Conflict Management	Agree	Unsure	Disagree	N/A
Addresses contentious issues earlier rather than later.
Tries to understand others' point of view before making judgments
Steers the process towards compromise and conflict resolution.
Works to reduce misunderstandings and poor communication.
Encourages individuals to modify their underlying work behaviors that may have contributed to the conflict.
Teamwork	Agree	Unsure	Disagree	N/A
Seeks and listens to other's contributions
Appreciates the input from other team members.
Provides assistance and support to other team members when needed
Effective team player
Helps the team exercise good judgment by making sound and informed decisions.
Entrepreneurship	Agree	Unsure	Disagree	N/A
Understands the processes and various stages of business development.
Able to adapt the department to changing business demands and climate.
Balances risks and rewards when making decisions.
Maintains a high level of energy to respond to demands of the job.
Encourages risk taking for developing potential business opportunities.

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.