Performance - 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 .

Performance	Agree	Unsure	Disagree	N/A
Works effectively in the department.
Listens and responds to issues and problems
Effectively organizes resources and plans
Able to organize work.
Effective in performing his/her job.
Goals	Agree	Unsure	Disagree	N/A
Conducts timely follow-up; keeps others informed on a need to know basis.
Sets high expectations and goals; encourages others to support the organization.
Makes sure that team members have a clear idea of our group's goals.
Understands & contributes to development of strategic goals.
Makes sure that I have a clear idea of our group's goals.
Results Oriented	Agree	Unsure	Disagree	N/A
Helps others when free-time is available.
Stays focused on meeting the needs of customers.
Does not become distracted by non-issues or interruptions.
Provides clear expectations for employees.
Directs team in prioritizing daily work activities
Excellence	Agree	Unsure	Disagree	N/A
Takes a lot of pride in their work.
Keeps themselves and others focused on constant improvement.
Demonstrates the analytical skills to do their job.
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
Passion To Learn	Agree	Unsure	Disagree	N/A
Will participate in training classes even if offered outside of normal working hours.
Is open minded and curious about learning new skills.
Demonstrates through personal behavior the commitment to high standards of performance.
Is open to feedback from others.
Creates an environment that supports personal development and exploration.
Continual Learning	Agree	Unsure	Disagree	N/A
Grasps new ideas, concepts, technical, or business knowledge.
Seeks opportunities to grow in skills and knowledge.
Takes charge of their training and skills enhancement.
Is open to new ideas and concepts.
Improves on their skill sets.
Continual Improvement	Agree	Unsure	Disagree	N/A
Looks for ways to expand and learn new job skills.
Open to the suggestions from others.
Analyzes processes to determine areas for improvement.
Looks for ways to expand current job responsibilities.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Persuasion and Influence	Agree	Unsure	Disagree	N/A
Ensures stakeholders are involved in the decision making process.
Seeks to obtain consensus or compromise.
Persuades others to consider alternative points of view.
Communicates effectively with others.
Attempts to persuade others rather than simply control them.
Client Focus	Agree	Unsure	Disagree	N/A
Looks for opportunities that have a positive impact on Clients.
Ensures client commitments and requirements are met or exceeded
Maintains strong relationships with clients.
Is pro-active in dealing with clients and addressing their needs.
Satisfies client needs.
Customer Focus	Agree	Unsure	Disagree	N/A
Develops good rapport and trust with the customer.
Develops strong customer relationships.
Consistently models positive customer service attitudes.
...friendliness and courtesy
Does not hesitate to address customer concerns or complaints.
Conflict Management	Agree	Unsure	Disagree	N/A
Assists team members by helping them see the other point of view.
Identifies and takes steps to prevent potential confrontations.
Helps employees to think through alternative ways to resolve conflict situations.
Discusses conflict situations with supervisor.
Deals effectively with employee grievances.
Fiscal Management	Agree	Unsure	Disagree	N/A
Provides budgeting and accounting support to the Company.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Monitors spending.
Monitors expenses and verifies the need for items purchased.
Develops budgets and plans for various programs and initiatives.

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

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

    
    
62. Strengths
    
    
    
63. Areas for Development
    
    
    
64. Please give any final comments or suggestions for [Participant Name Here]'s assessment.