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
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Analyzes interpersonal problems instead of reacting to them.
Does not allow own emotions to interfere with the performance of others.
Consciously controls own negative emotions in order to keep team morale up.
Continual Improvement	Agree	Unsure	Disagree	N/A
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.
Looks for ways to improve work processes and procedures.
Analyzes processes to determine areas for improvement.
Supervisory Skills	Agree	Unsure	Disagree	N/A
Shows consistency between what they say and do.
Resolves personnel problems quickly and effectively.
Schedules follow up meetings if employee's performance is below average.
Exemplifies professionalism in the workplace.
Seeks to enhance the performance of employees under their supervision.
Performance	Agree	Unsure	Disagree	N/A
Works effectively in the department.
Listens and responds to issues and problems
Effective in performing his/her job.
Works well in this position.
Able to organize work.
Administrative Skill	Agree	Unsure	Disagree	N/A
Able to develop, justify and present a budget.
Enthusiastic about taking on challenging projects.
Strong organizational skills to keep the workspace and department in order
Accurately implements contract provisions.
Takes responsibility for decisions.
Accountability	Agree	Unsure	Disagree	N/A
Encourages employees to take on greater responsibilities.
Acts like an owner when they make decisions.
Accepts accountability for their actions and results.
Develops goals and establishes objective measures of success.
Creates a consistent process for prioritizing work.
Goals	Agree	Unsure	Disagree	N/A
Achieves established goals.
Sets high expectations and goals; encourages others to support the organization.
Establishes and documents goals and objectives.
Understands & contributes to development of strategic goals.
Makes sure that I have a clear idea of our group's goals.
Technical	Agree	Unsure	Disagree	N/A
Willingly shares information and expertise; sought out as resource by others
Is knowledgeable of procedures or systems necessary for the job.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Willingly shares his/her technical expertise; sought out as resource by others
Seeks information from others as needed.
Trustworthy	Agree	Unsure	Disagree	N/A
Is a person you can trust.
Builds and maintains the trust of others.
Demonstrates a sense of responsibility and commitment to public trust.
Takes care to maintain confidential information.
Delivers on promises made.
Conflict Management	Agree	Unsure	Disagree	N/A
Tries to understand others' point of view before making judgments
Clearly expresses expectations to others.
Deals effectively with employee grievances.
Identifies and takes steps to prevent potential confrontations.
Helps employees to think through alternative ways to resolve conflict situations.
Teamwork	Agree	Unsure	Disagree	N/A
Actively participates in the work of teams; seeks and listens to others' contributions
Act as an effective team player
Is open to new ideas that may change own goals for benefit of the team
Encourages others to share ideas to develop team cohesion
Comes across as a reliable, committed team member
Entrepreneurship	Agree	Unsure	Disagree	N/A
Balances risks and rewards when making decisions.
Encourages risk taking for developing potential business opportunities.
Maintains a high level of energy to respond to demands of the job.
Understands the processes and various stages of business development.
Encourages dynamic growth 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.