Trustworthy - 360 Degree Feedback Survey Sample #13

Instructions

You are being requested to provide valuable feedback on the manager listed above. Your insights and observations are a crucial element in our continuous efforts to enhance our performance through this leadership development program. This feedback tool has been carefully designed to gather detailed and comprehensive input on the core competencies and role responsibilities that are integral to the ongoing success and growth of our organization.

We believe that your unique perspective, based on your interactions and experiences with this manager, will contribute significantly to identifying strengths, areas for improvement, and opportunities for professional growth. Your feedback will help us foster a culture of excellence, accountability, and continuous improvement within our leadership team.

As you complete the assessment form, please reflect on your interactions with this individual over the past six to twelve months. Your responses will be combined with feedback from others and presented to the manager to aid in their ongoing development. Rest assured, your comments will be shared anonymously, exactly as you write them.

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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Trustworthy	Strongly Disagree	Disagree	Agree	Strongly Agree
Communicates an understanding of the other person's interests, needs and concerns.
Is trustworthy; is someone I can trust.
Builds and maintains the trust of others.
Demonstrates congruence between statements and actions.
Takes ownership, delivers on commitments
Works in a way that makes others want to work with her/him.
Delivers on promises made.
Consistently keeps commitments.
Demonstrates a sense of responsibility and commitment to public trust.
Interpersonal Skills	Strongly Disagree	Disagree	Agree	Strongly Agree
Attends to both the content and the context of what was being said.
Recognizes the contributions of others.
Maintains a high degree of honesty and integrity.
Able to work with individuals at all levels of the Company.
Offers constructive criticism to have a positive impact on performance.
Responsible	Strongly Disagree	Disagree	Agree	Strongly Agree
Holds herself / himself accountable to goals / objectives
Completes assigned work tasks.
Is a person you can trust.
Acts as a resource without removing individual responsibility.
...takes personal responsibility for results.
Conflict Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Strives to ensure that all basic needs are met, resulting in mutual benefits for both parties.
Avoids being judgmental and micromanaging of employees.
Addresses concerns about the availability of limited resources.
Combines ideas and viewpoints of different team members.
Facilitates dialog between stakeholders.
Strategic Insight	Strongly Disagree	Disagree	Agree	Strongly Agree
Communicates with employees to find out their needs.
Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
Develops a strategic vision for the future.
Identifies potential problems before they become critical incidents.
Inspires employees to adopt the strategic plan.
Fiscal Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Effective in using Company's resources.
Monitors expenses and verifies the need for items purchased.
Ensures others follow the correct rules and regulations on fiscal matters.
Keeps excellent records for financial transparency.
Develops budgets and plans for various programs and initiatives.
Decision Making	Strongly Disagree	Disagree	Agree	Strongly Agree
Acts confidently in the absence of guidance.
Remains focused on the immediate goal when making decisions.
Does not lose sight of the big picture when making decisions
Is aware of the impact of decisions and informs others about potential outcomes.
Carefully evaluates information before making an important decision.
Excellence	Strongly Disagree	Disagree	Agree	Strongly Agree
Takes a lot of pride in their work.
Can be counted on to add value wherever they are involved.
Demonstrates the functional or technical skills necessary to do their job.
Is planful and organized.
Keeps themselves and others focused on constant improvement.

45. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
46. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
47. Overall, please rate the effectiveness of [Participant Name Here].
    

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

    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.