Teamwork- 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 .

Teamwork	Agree	Unsure	Disagree	N/A
Encourages teamwork and collaboration.
Builds relationships across boundaries and with key stakeholders by developing informal and formal networks.
Effective team player
Actively participates in the work of teams; seeks and listens to others' contributions
Provides assistance and support to other team members when needed
Flexibility	Agree	Unsure	Disagree	N/A
Acts decisively in frequently changing and uncertain environment.
Willing to try new ideas.
Can handle changes without complaining.
Implements changes as a result of having listened to employees
Identifies new opportunities to achieve goals
Bias for Action	Agree	Unsure	Disagree	N/A
Completes work on time
Displays high energy and enthusiasm on consistent basis.
Identifies ways to simplify work processes and reduce cycle times
Seeks and utilizes opportunities for continuous learning and self-development.
Motivates others to achieve or exceed goals
Delegation	Agree	Unsure	Disagree	N/A
Defines goals and objectives for subordinates.
Tells subordinates what to do, not how to do it.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Allows subordinates to use their own methods and procedures.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Managing Risk	Agree	Unsure	Disagree	N/A
Performs a risk analysis as needed.
Creates informative guides regarding potential risks and risky behaviors.
Tracks risks in a project.
Rewards innovative experiments to try new ideas.
Has the knowledge and skills to accurately identify risks in the workplace.
Regulatory/Compliance	Agree	Unsure	Disagree	N/A
Provides documents and reports as needed to maintain compliance with laws.
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Maintains a state of readiness to address new and changing regulations and procedures.
Keeps track of changes in legislation affecting regulatory compliance.
Knows who to contact at various regulatory agencies if needed.
Developing Others	Agree	Unsure	Disagree	N/A
Recognizes and celebrates accomplishments of others.
Is open to receiving feedback.
Encourages employees through recognition of positive changes in behavior.
Assesses employees' developmental needs.
Assigns tasks and responsibilities to develop skills of others.
Recognition	Agree	Unsure	Disagree	N/A
Is sincerely interested in the suggestions of co-workers
Recognizes team members who offer a significant contribution to a project.
Says "thank you" to show appreciation for work of others.
Recognizes individuals for a specific outstanding achievement.
Finds opportunities to recognize others.

41. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
42. Strengths
    
    
    
43. Areas for Development
    
    
    
44. Please give any final comments or suggestions for [Participant Name Here]'s assessment.