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 .

Strategic Insight	Agree	Unsure	Disagree	N/A
Maintains knowledge of current trends in the industry.
Analyzes unique issues or problems impacting the Company.
Analyzes records and reports to obtain insight into potential issues and trends.
Formulates policies and strategies for addressing the Company's important challenges.
Identifies potential problems before they become critical incidents.
Company	Agree	Unsure	Disagree	N/A
Understands the use of [Company] products and services.
Follows existing procedures and processes.
Understands the "basics" as to how [Company] functions/operates.
Understands how decisions impact other business units beyond their immediate department of work group.
Expresses loyalty and dedication to [Company] in interactions with others.
Cultural Awareness	Agree	Unsure	Disagree	N/A
Hires individuals with different cultural backgrounds for the department.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Recognizes and values individual and cultural differences.
Understands the impact that our culture may have on interactions between individuals.
Encourages a work environment where individual differences are valued.
Performance	Agree	Unsure	Disagree	N/A
...Produce Quality
Sets a high standard for job performance.
...Overall Performance
Has great overall performance
Able to organize work.
Achievement	Agree	Unsure	Disagree	N/A
Accepts setbacks and challenges as improvement opportunities
Completes work to a high technical standard
Allocates resources as needed to accomplish organizational goals.
Is determined to complete tasks regardless of obstacles that may occur.
Completes work promptly and efficiently.
Results Oriented	Agree	Unsure	Disagree	N/A
Stays focused on meeting the needs of customers.
Does not become distracted by non-issues or interruptions.
Encourages a high-energy, fun work environment and coaches others on how to do the same
Inspires and motivates co-workers to be productive and energetic at work
Works toward achievement of goals even when confronted with obstacles.
Safety	Agree	Unsure	Disagree	N/A
Participates in safety training when offered.
Performs work safely.
Develops a sustainable safety culture.
Is aware of OSHA safety guidelines.
Encourages others to work safely.
Coaching	Agree	Unsure	Disagree	N/A
Conducts regular performance appraisals and feedback.
Provides clear, motivating, and constructive feedback.
Helps employees to maintain high personal standards.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Addresses employee behavior problems effectively.
Conflict Management	Agree	Unsure	Disagree	N/A
Discusses conflict situations with supervisor.
Helps employees to think through alternative ways to resolve conflict situations.
Tries to understand others' point of view before making judgments
Clearly expresses expectations to others.
Deals effectively with employee grievances.

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.