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
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Steps away from a situation to process appropriate response.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Analyzes interpersonal problems instead of reacting to them.
Continual Improvement	Agree	Unsure	Disagree	N/A
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Looks for ways to expand and learn new job skills.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Looks for ways to expand current job responsibilities.
Looks for ways to improve work processes and procedures.
Supervisory Skills	Agree	Unsure	Disagree	N/A
Enforces workplace rules fairly.
Maintains an even temper in stressful situations.
Promotes teamwork and cooperation within the department.
Makes sure employees are working toward goals set by the company.
Instructs employees on the safest way to perform tasks.
Performance	Agree	Unsure	Disagree	N/A
Shown significant improvement in job performance.
Listens and responds to issues and problems
...Overall Performance
Sets a high standard for job performance.
Works effectively in the department.
Administrative Skill	Agree	Unsure	Disagree	N/A
Strong organizational skills to keep the workspace and department in order
Completes reports on-time.
Has strong technical/computer skills.
Implements and uses performance measures.
High attention to detail.
Accountability	Agree	Unsure	Disagree	N/A
Chooses integrity over convenience.
Defines roles, rights, and responsibilities of employees.
Takes ownership of mistakes and learns from them.
Takes charge of addressing and solving problems.
Commits to leading the initiatives to solving critical issues.
Goals	Agree	Unsure	Disagree	N/A
Conducts timely follow-up; keeps others informed on a need to know basis.
Achieves established goals.
Achieves goals.
Makes sure that I have a clear idea of our group's goals.
Goal Setting
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.
Knows how to produce high quality products/work.
Willingly shares his/her technical expertise; sought out as resource by others
Demonstrates mastery of the technical competencies required in his/her work.
Trustworthy	Agree	Unsure	Disagree	N/A
Demonstrates congruence between statements and actions.
Builds and maintains the trust of others.
Consistently keeps commitments.
Takes ownership, delivers on commitments
Demonstrates a sense of responsibility and commitment to public trust.
Conflict Management	Agree	Unsure	Disagree	N/A
Seeks to achieve mutually acceptable outcomes.
Promotes mutual compromise to achieve conflict resolution.
Works with others as needed to facilitate resolution of conflicts.
Explores the feasibility of alternative solutions to resolve conflicts.
Seeks to maintain positive relationships with coworkers.
Teamwork	Agree	Unsure	Disagree	N/A
Builds strong relationships with team members.
Shares pertinent information with all members of the team.
Contributes to and supports team decision-making process
Willing to listen to the ideas of other team members.
Demonstrates compassion and respect for others through actions; is concerned about their work and non-work issues
Entrepreneurship	Agree	Unsure	Disagree	N/A
Exhibits determination and passion in completion of goals.
Finds unique ways to go around barriers to success.
Can work effectively in an environment of uncertainty.
Encourages dynamic growth opportunities.
Devotes a certain amount of time and effort to developing new 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.