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 .

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Teamwork	Agree	Unsure	Disagree	N/A
Listens and is attentive to other team members.
Creates a climate that encourages team participation.
Communicates well with team members.
Builds a strong rapport with team members.
Seeks and listens to other's contributions
Flexibility	Agree	Unsure	Disagree	N/A
Navigates ambiguity with ease, maintaining focus and productivity amidst uncertainty.
Fosters a culture of flexibility and agility.
Recognizes and quickly adapts to shifts in the environment, market, or industry.
Dedicated to evolving and enhancing business processes, which demonstrates flexibility.
Solves problems using innovative solutions by keeping an open mind and considering the input from others.
Bias for Action	Agree	Unsure	Disagree	N/A
Completes work on time
Conveys a sense of urgency about addressing problems and opportunities
Engages in continuous learning by actively seeking and incorporating feedback to improve processes and performance.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Is punctual and consistently meets deadlines.
Delegation	Agree	Unsure	Disagree	N/A
Delegates tasks that challenge employees to expand their skill sets and take on new responsibilities.
Clarifies decision-making boundaries and levels of autonomy for each delegated task.
Entrusts subordinates with important tasks.
Follows up on instructions to ensure there are no misunderstandings.
Discusses new task assignments during a one-on-one meeting.
Managing Risk	Agree	Unsure	Disagree	N/A
Prioritizes risks based on probability of occurrence and possible impact to the company.
Integrates risk management into strategic decision making.
Determines the potential outcome of adverse risk events.
Minimizes operational setbacks and delays.
Offers training to reduce safety incidents in the workplace.
Regulatory/Compliance	Agree	Unsure	Disagree	N/A
Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
Ensures the company is in compliance with industry specifications, standards, and applicable laws.
Offers training on various subjects to help ensure employees are aware of regulations.
Keeps up-to-date with legislation affecting employees.
Ensures the company meets legal requirements/standards regarding employees.
Developing Others	Agree	Unsure	Disagree	N/A
Provides constructive feedback to others.
Sets performance objectives for subordinates that encourages development opportunities.
Creates a work environment that fosters positive feedback to employees.
Recognizes and celebrates accomplishments of others.
Is open to receiving feedback.
Recognition	Agree	Unsure	Disagree	N/A
Establishes recognition as an important part of the organizational culture.
Creates a "Collaborator Champion" award to promote and recognize teamwork and collaborative efforts by employees.
Expresses genuine appreciation for the employee's work by mentioning the work that the employee has completed and how it has impacted the organization.
Ensures that recognition is timely and relevant.
Views recognition as a powerful motivator.

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.