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
Identifies opportunities for innovation by watching how employees adapt tools, processes, or customer interactions.
Works with others to develop insights into the resources and actions required to produce desired results.
Anticipates talent needs based on projected business growth and industry developments.
Educates team members on emerging trends and their implications for current projects or goals.
Pursues strategic alliances with valued partners.
Company	Agree	Unsure	Disagree	N/A
Implements an EEO policy ensures that all employees are treated fairly and without discrimination.
Ensures that employees feel a sense of accomplishment and purpose.
Encourages open dialogue and mutual support among team members.
Encourages employees to be proud to be part of the company.
Believes in what we do and how we do it.
Cultural Awareness	Agree	Unsure	Disagree	N/A
Understands the impact that our culture may have on interactions between individuals.
Values the opinions of diverse groups and individual.
Respects others regardless of age, race, gender, nationality, or disability.
Responds thoughtfully to culturally influenced communication styles and preferences.
Advocates for equitable treatment of all employees, regardless of cultural background.
Performance	Agree	Unsure	Disagree	N/A
Works well in this position.
Has great overall performance
Sets a high standard for job performance.
Effective in performing his/her job.
...Overall Performance
Achievement	Agree	Unsure	Disagree	N/A
Strives to exceed standards of performance.
Has an intense drive to exceed expectations.
Driven to complete assignments on time.
Sets performance metrics to measure achievement or attainment of goals.
Implements standardized processes and procedures to help others achieve success.
Results Oriented	Agree	Unsure	Disagree	N/A
clearly defines roles and expectations.
Sets benchmarks and milestones to measure progress toward the objectives.
Gives extra effort to solve problems and get work done on time.
Completes all assigned tasks.
Determines the objectives for the project.
Safety	Agree	Unsure	Disagree	N/A
Develops a strong safety culture.
Identifies predictable hazards in the workplace.
Points out behaviors in others that may be unsafe.
Supports safety programs and procedures.
Develops safety guidelines for the department.
Coaching	Agree	Unsure	Disagree	N/A
Helps employees to maintain high personal standards.
Helps employees to find and correct their own errors
Helps employees to understand responsibilities, authority, and expectations.
Asks questions to help employees see the situation in a new light.
Prompts the employee to consider alternative solutions, options, and ideas.
Conflict Management	Agree	Unsure	Disagree	N/A
Helps others avoid misperceptions about issues.
Promotes a culture where conflicts are seen as opportunities for change, not threats.
Seeks to develop a shared understanding of the issues involved.
Explores the feasibility of alternative solutions to resolve conflicts.
Seeks to have both sides voluntarily work together to resolve their differences.

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.