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
Develops a plan and strategy for each functional area within the mission statement.
Creates values statement to ensure all employees are working under the same guiding principles.
Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
Works with others to develop insights into the resources and actions required to produce desired results.
Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
Company	Agree	Unsure	Disagree	N/A
Follows existing procedures and processes.
Understands the use of [Company] products and services.
Impresses upon others the important aspects of [Company].
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the "basics" as to how [Company] functions/operates.
Cultural Awareness	Agree	Unsure	Disagree	N/A
Understands how implicit biases can affect decisions, communication and productivity.
Interacts effectively with people from different cultural backgrounds.
Develops skills and attitudes to bridge cultural differences.
Participates in cultural training sessions/classes.
Is sensitive to the similarities and differences that exist between cultures.
Performance	Agree	Unsure	Disagree	N/A
Listens and responds to issues and problems
Sets a high standard for job performance.
Works effectively in the department.
...Overall Performance
...Produce Quality
Achievement	Agree	Unsure	Disagree	N/A
Follows-up and takes action when goals are not met to ensure better results in the future.
Is flexible in adjusting priorities to meet the demands of changing situations.
Driven to complete goals despite obstacles that may arise.
Works at a quick pace to complete a high volume of work.
Completes work to given time frame and to budget
Results Oriented	Agree	Unsure	Disagree	N/A
Holds self and others accountable for achieving results.
Quickly analyzes the situation to determine the most pressing needs.
Achieves performance benchmarks.
Gives extra effort to solve problems and get work done on time.
Prioritizes goals to complete those in urgent need first.
Safety	Agree	Unsure	Disagree	N/A
Participates in safety training when offered.
Supports our company's safety programs.
Points out behaviors in others that may be unsafe.
Develops a sustainable safety culture.
Keeps accurate safety records.
Coaching	Agree	Unsure	Disagree	N/A
Conducts regular performance appraisals and feedback.
Addresses employee behavior problems effectively.
Meets regularly with employees to coach them on areas that will enhance their performance
Helps employees to maintain high personal standards.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Conflict Management	Agree	Unsure	Disagree	N/A
Assists team members by helping them see the other point of view.
Removes misperceptions that may be contributing to the conflict.
Determines who has the autonomy (authority) to make the decisions necessary to end the conflict.
Initates collaborative processes to reduce conflict.
Ensures that both parties work toward finding compromise.

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.