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
Analyzes records and reports to obtain insight into potential issues and trends.
Inspires employees to adopt the strategic plan.
Adjusts strategic plans based on insights gathered from different points of view.
Implements long-term solutions to problems.
Develops a plan and strategy for each functional area within the mission statement.
Company	Agree	Unsure	Disagree	N/A
Impresses upon others the important aspects of [Company].
Attends [Company] gatherings and social events.
Understands how decisions impact other business units beyond their immediate department of work group.
Follows existing procedures and processes.
Understands the use of [Company] products and services.
Cultural Awareness	Agree	Unsure	Disagree	N/A
Helps other employees to become more culturally sensitive.
Functions effectively within various cultural contexts.
Seeks knowledge and information about other cultures.
Respects the views offered by individuals with different cultural backgrounds.
Accepts individual differences.
Performance	Agree	Unsure	Disagree	N/A
...Produce Quality
Has great overall performance
Shown significant improvement in job performance.
Effective in performing his/her job.
...Overall Performance
Achievement	Agree	Unsure	Disagree	N/A
Eliminates bureaucratic barriers to streamline processes.
Rapidly completes tasks and assignments.
Sets challenging goals.
Is results oriented.
Holds others to high standards of achievement.
Results Oriented	Agree	Unsure	Disagree	N/A
Has a strong drive to complete goals despite obstacles that may arise.
Flexible and willing to change the strategy to better achieve the objectives.
Directs team in prioritizing daily work activities
Measures progress toward the goal.
Sets priorities for tasks to be completed.
Safety	Agree	Unsure	Disagree	N/A
Encourages others to work safely.
Develops a culture of safety.
Commits adequate resources toward safety measures.
Supports safety programs and procedures.
Supports our company's safety programs.
Coaching	Agree	Unsure	Disagree	N/A
Helps employees to understand responsibilities, authority, and expectations.
Conducts regular performance appraisals and feedback.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Addresses employee behavior problems effectively.
Develops the skills and capabilities of others.
Conflict Management	Agree	Unsure	Disagree	N/A
Facilitates collaborative processes to reduce conflict.
Avoids being judgmental and micromanaging of employees.
Promotes openness and urges individuals to explore various options for resolving the conflict.
Works with others as needed to facilitate resolution of conflicts.
Removes misperceptions that may be contributing to the conflict.

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.