Strategic Insight- 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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Strategic Insight	Agree	Unsure	Disagree	N/A
Strategically aligns projects to the goals of the company.
Understands how to strategically grow the business and increase customers.
Implements long-term solutions to problems.
Inspires employees to adopt the strategic plan.
Converses with customers and clients to get a better insight into their personal needs.
Company	Agree	Unsure	Disagree	N/A
Impresses upon others the important aspects of [Company].
Follows existing procedures and processes.
Understands the use of [Company] products and services.
Understands the "basics" as to how [Company] functions/operates.
Expresses loyalty and dedication to [Company] in interactions with others.
Cultural Awareness	Agree	Unsure	Disagree	N/A
Avoids referring to stereotypes about others from different cultures.
Seeks to reduce obstacles in communication that might arise from cultural differences.
Fosters a diverse workforce free from discrimination and harassment.
Values the opinions of diverse groups and individual.
Acknowledges their own biases in cultural interactions.
Performance	Agree	Unsure	Disagree	N/A
Shown significant improvement in job performance.
...Produce Quality
Works well in this position.
Effectively organizes resources and plans
Has great overall performance
Achievement	Agree	Unsure	Disagree	N/A
Uses established goals and performance measures to keep track of performance.
Helps others to improve or meet standards of performance.
Holds others to high standards of achievement.
Sets challenging goals.
Increased production by 20 percent.
Results Oriented	Agree	Unsure	Disagree	N/A
Sets challenging goals to be achieved.
Strives to exceed performance benchmarks.
Identifies the steps needed to accomplish the results.
Produces a high volume of work.
Establishes benchmarks to be met when working on projects.
Safety	Agree	Unsure	Disagree	N/A
Creates accurate and effective measures of safety.
Is not afraid to question a potential safety issue observed in the workplace.
Develops a sustainable safety culture.
Identifies predictable hazards in the workplace.
Works to implement corrective safety measures.
Coaching	Agree	Unsure	Disagree	N/A
Meets regularly with employees to coach them on areas that will enhance their performance
Provides clear, motivating, and constructive feedback.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Develops the skills and capabilities of others.
Conducts regular performance appraisals and feedback.
Conflict Management	Agree	Unsure	Disagree	N/A
Is supportive of consensus and power sharing.
Views conflicts as opportunities to create constructive and novel solutions to problems.
Seeks to maintain positive relationships with coworkers.
Prefers to resolve conflicts through negotiation rather than coersion.
Uses structured frameworks for resolving conflicts, such as mediation or facilitated discussions.

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

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

    
    
47. Strengths
    
    
    
48. Areas for Development
    
    
    
49. Please give any final comments or suggestions for [Participant Name Here]'s assessment.