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
Observes employees at work to get better insight into the issues they are dealing with.
Formulates policies and strategies for addressing the Company's important challenges.
Develops a plan and strategy for each functional area within the mission statement.
Anticipates business cycles and trends and makes adjustments in a timely manner.
Strategically aligns projects to the goals of the company.
Company	Agree	Unsure	Disagree	N/A
Understands the use of [Company] products and services.
Expresses loyalty and dedication to [Company] in interactions with others.
Attends [Company] gatherings and social events.
Understands how decisions impact other business units beyond their immediate department of work group.
Impresses upon others the important aspects of [Company].
Cultural Awareness	Agree	Unsure	Disagree	N/A
Is willing to include individuals with different cultural backgrounds on the team.
Is aware of the similarities and differences among and between cultural groups.
Is aware of cultural differences in business etiquette.
Understands the impact that our culture may have on interactions between individuals.
Avoids referring to stereotypes about others from different cultures.
Performance	Agree	Unsure	Disagree	N/A
Sets a high standard for job performance.
Effectively organizes resources and plans
Works effectively in the department.
Effective in performing his/her job.
Able to organize work.
Achievement	Agree	Unsure	Disagree	N/A
Takes calculated risks to achieve significant rewards.
Accepts setbacks and challenges as improvement opportunities
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Helps others to improve or meet standards of performance.
Works at a quick pace to complete a high volume of work.
Results Oriented	Agree	Unsure	Disagree	N/A
Determines the best approach to achieving the expected results.
Holds self and others accountable for achieving results.
Plans the best course of action to achieve the goal.
Concentrates efforts on the most urgent needs.
Persists in seeking objectives despite obstacles or setbacks.
Safety	Agree	Unsure	Disagree	N/A
Participates in safety training as applicable.
Mitigates hazards and safety issues that arise.
Keeps accurate safety records.
Is aware of OSHA safety guidelines.
Develops a culture of safety.
Coaching	Agree	Unsure	Disagree	N/A
Addresses employee behavior problems effectively.
Provides clear, motivating, and constructive feedback.
Conducts regular performance appraisals and feedback.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Helps employees to understand responsibilities, authority, and expectations.
Conflict Management	Agree	Unsure	Disagree	N/A
Clearly expresses expectations to others.
Tries to understand others' point of view before making judgments
Assists team members by helping them see the other point of view.
Identifies and takes steps to prevent potential confrontations.
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.