Vision- 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 .

Vision	Agree	Unsure	Disagree	N/A
Stays ahead of the curve and guides the team towards innovative solutions and strategic decisions.
Crafts strategic plans that embody the organization's shared vision.
Creates a vision to align employees around a long-term goal for the department.
Effectively communicates the vision to employees.
Creates and executes a strategic vision that drives the company's growth forward.
Adaptability	Agree	Unsure	Disagree	N/A
Will stop what they are doing to help colleagues in need.
Able to adjust to changing environments.
Adjusts plans to meet new situations.
Is open to changes in policies and procedures.
Embraces change and fosters an open-minded environment.
Bias for Action	Agree	Unsure	Disagree	N/A
Seeks and utilizes opportunities for continuous learning and self-development.
Motivates others to achieve or exceed goals
Displays high energy and enthusiasm on consistent basis.
Identifies ways to simplify work processes and reduce cycle times
Completes work on time
Punctuality	Agree	Unsure	Disagree	N/A
Invoices clients on a timely basis.
Conducts appointments at scheduled start time.
Avoids making personal phone calls during working hours.
Starts the workday when scheduled.
Maintains an efficient schedule of activities.
Initiative	Agree	Unsure	Disagree	N/A
Immediately works on solving problems.
Able to initiate work on projects independently without direct supervision.
Looks for opportunities to move projects forward.
Takes action to implement new changes in the policies and procedures.
Creates solutions to problems as soon as an incident occurs.
Change Management	Agree	Unsure	Disagree	N/A
Works cooperatively with others to implement changes.
Supports new initiatives for organizational changes to improve effectiveness.
Inspires others to accept changes.
Develops plans for following through on the changes.
Able to get team members to change their attitudes.
Commitment To Result	Agree	Unsure	Disagree	N/A
Able to focus on a task even when working alone.
Coordinates all department activities into a cohesive team effort.
Committed to the team.
Maintains persistence and dedication to achieving results.
Encourages commitment in others to obtain results.
Managing Risk	Agree	Unsure	Disagree	N/A
Aware of appropriate actions to minimize risks.
Determines the impact of specific risks on marketplace.
Offers training to reduce safety incidents in the workplace.
Outlines the risk management framework including responsibilities, description of the process, and guidance on evaluating risk criteria and appropriate risk responses.
Recognizes the potential impact of systemic risks.
Business Acumen	Agree	Unsure	Disagree	N/A
Gathers essential customer data to align our products with their expectations.
Understands our competitors and their strengths and weaknesses.
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Aware of regulations that impact our business.
Establishes key performance indicators (KPIs) to measure progress and success.
Planning	Agree	Unsure	Disagree	N/A
Creates effective project plans.
Open to input from others into the plan for development of the strategic plan.
Delegates role to team members to accomplish goals.
Determines what supplies/equipment will be needed for the job.
Able to identify the needs of the department before a major change.

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

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

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.