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 .

Trustworthy	Strongly Disagree	Disagree	Agree	Strongly Agree
Works in a way that makes others want to work with her/him.
Communicates an understanding of the other person's interests, needs and concerns.
Builds and maintains the trust of others.
Takes care to maintain confidential information.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Is a person you can trust.
Demonstrates congruence between statements and actions.
Takes ownership, delivers on commitments
Demonstrates a sense of responsibility and commitment to public trust.
Interpersonal Skills	Strongly Disagree	Disagree	Agree	Strongly Agree
Uses tact, compassion, and sensitivity in interactions with others.
Values the opinions of others.
Respects other members of the team/department.
Embraces the differences in individuals that comprise the team.
Recognizes the contributions of others.
Responsible	Strongly Disagree	Disagree	Agree	Strongly Agree
Sets a good example.
Completes assigned work tasks.
...takes personal responsibility for results.
Sets high personal standards of performance.
Behavior is ethical and honest.
Conflict Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Uses structured frameworks for resolving conflicts, such as mediation or facilitated discussions.
Ensures that the basic needs of each party are satisfied.
Strives to ensure that all basic needs are met, resulting in mutual benefits for both parties.
Seeks to develop a shared understanding of the issues involved.
Tries to understand others' point of view before making judgments
Strategic Insight	Strongly Disagree	Disagree	Agree	Strongly Agree
Implements long-term solutions to problems.
Identifies root causes of problems.
Formulates policies and strategies for addressing the Company's important challenges.
Adjusts strategic plans based on insights gathered from different points of view.
Understands how to strategically grow the business and increase customers.
Fiscal Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Ensures others follow the correct rules and regulations on fiscal matters.
Develops of the department's annual budget.
Effective in using Company's resources.
Provides budgeting and accounting support to the Company.
Monitors expenses and verifies the need for items purchased.
Decision Making	Strongly Disagree	Disagree	Agree	Strongly Agree
Willing to change their strategy if new information arises.
Defines parameters that will impact the decision making process.
Makes good decisions for the department.
Is aware of the impact of decisions and informs others about potential outcomes.
Recognizes and generates innovative solutions.
Excellence	Strongly Disagree	Disagree	Agree	Strongly Agree
Produces high quality work.
Demonstrates the analytical skills to do their job.
Can be counted on to add value wherever they are involved.
Keeps themselves and others focused on constant improvement.
Is planful and organized.

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.