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 .

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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.
Consciously controls own negative emotions in order to keep team morale up.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Steps away from a situation to process appropriate response.
Continual Improvement	Agree	Unsure	Disagree	N/A
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Promotes training and development opportunities to enhance job performance.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Looks for ways to expand and learn new job skills.
Looks for ways to improve work processes and procedures.
Supervisory Skills	Agree	Unsure	Disagree	N/A
Is fair and equitable in enforcement of work rules.
Able to remain calm in tense situations.
Encourages employees to take responsibility for mistakes.
Oversees employees to make sure their work is performed up to standard.
Communicates on a daily basis with the team at the start of each shift.
Performance	Agree	Unsure	Disagree	N/A
Able to organize work.
Has great overall performance
Sets a high standard for job performance.
Shown significant improvement in job performance.
...Overall Performance
Administrative Skill	Agree	Unsure	Disagree	N/A
Able to develop, justify and present a budget.
Takes responsibility for decisions.
Strong organizational skills to keep the workspace and department in order
Enthusiastic about taking on challenging projects.
Accurately implements contract provisions.
Accountability	Agree	Unsure	Disagree	N/A
Follows through on commitments made.
Informs the supervisor if progress on the task has been delayed.
Takes full responsibility for results.
Provides clear reasons for underperformance.
Continues to work diligently on a problem despite setbacks.
Goals	Agree	Unsure	Disagree	N/A
Makes sure that I have a clear idea of our group's goals.
Achieves goals.
Understands & contributes to development of strategic goals.
Establishes and documents goals and objectives.
Achieves established goals.
Technical	Agree	Unsure	Disagree	N/A
Willingly shares information and expertise; sought out as resource by others
Demonstrates mastery of the technical competencies required in his/her work.
Willingly shares his/her technical expertise; sought out as resource by others
Knows how to produce high quality products/work.
Seeks information from others as needed.
Trustworthy	Agree	Unsure	Disagree	N/A
Is trustworthy; is someone I can trust.
Works in a way that makes others want to work with her/him.
Builds and maintains the trust of others.
Communicates an understanding of the other person's interests, needs and concerns.
Delivers on promises made.
Conflict Management	Agree	Unsure	Disagree	N/A
Seeks to develop a shared understanding of the issues involved.
Guides others toward establishing strong relationships.
Establishes roles and responsibilities of team members.
Steers the process towards compromise and conflict resolution.
Persuades individuals to alter their underlying work behaviors which may have led to the conflict.
Teamwork	Agree	Unsure	Disagree	N/A
Makes decisions that support the team's goals and objectives.
Is able to accurately paraphrase and summarize what other team members have said.
Fosters an environment that promotes active listening on the team.
Is committed to the success of the team.
Joins with other team members to brainstorm solutions to the problem.
Entrepreneurship	Agree	Unsure	Disagree	N/A
Balances risks and rewards when making decisions.
Finds unique ways to go around barriers to success.
Is comfortable operating in an environment of uncertainty.
Encourages dynamic growth opportunities.
Maintains a high level of energy to respond to demands of the job.

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.