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
Communicates with employees to find out their needs.
Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
Creates strategies that significantly benefit the Company.
Meets with customers to gain insight into their core needs and how best to serve them.
Develops a plan and strategy for each functional area within the mission statement.
Company	Agree	Unsure	Disagree	N/A
Follows existing procedures and processes.
Understands the "basics" as to how [Company] functions/operates.
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the use of [Company] products and services.
Attends [Company] gatherings and social events.
Cultural Awareness	Agree	Unsure	Disagree	N/A
Is sensitive to the similarities and differences that exist between cultures.
Shows respect in daily interactions
Understands the impact that our culture may have on interactions between individuals.
Views diversity as a strength, not as an issue.
Understands how their own cultural background can impact the way they communicate and interact with others.
Performance	Agree	Unsure	Disagree	N/A
Listens and responds to issues and problems
Effectively organizes resources and plans
Shown significant improvement in job performance.
Effective in performing his/her job.
Has great overall performance
Achievement	Agree	Unsure	Disagree	N/A
Rapidly completes tasks and assignments.
Inspires others to work with a sense of urgency.
Strives to meet goals and objectives.
Sets challenging goals for the department.
Is determined to complete tasks regardless of obstacles that may occur.
Results Oriented	Agree	Unsure	Disagree	N/A
Sets a common goals for the team.
Has a strong result orientation.
Motivated by a strong desire to exceed performance standards.
Inspires and motivates co-workers to be productive and energetic at work
Determines what resources will be needed to achieve the objectives.
Safety	Agree	Unsure	Disagree	N/A
Develops a culture of safety.
Supports safety programs and procedures.
Keeps accurate safety records.
Develops safety guidelines for the department.
Ensures that all supervisors are aware of regulatory and compliance measures.
Coaching	Agree	Unsure	Disagree	N/A
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Meets regularly with employees to coach them on areas that will enhance their performance
Helps employees to understand responsibilities, authority, and expectations.
Addresses employee behavior problems effectively.
Conducts regular performance appraisals and feedback.
Conflict Management	Agree	Unsure	Disagree	N/A
Is open and honest to avoid misunderstandings.
Reframes conflicts as opportunities to innovate and create new solutions to problems.
Combines ideas and viewpoints of different team members.
Identifies strategies to prevent the recurrence of issues.
Attempts to determine the root sources of 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.