Achievement - 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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Achievement	Strongly Disagree	Disagree	Agree	Strongly Agree
Is results oriented.
Takes decisive action on lagging projects to restore momentum and ensure completion.
Moves decisively in high-risk situations to secure long-term achievements.
Pushes boundaries with ambitious goals that foster growth and innovation.
Is determined to complete tasks regardless of obstacles that may occur.
Driven to complete goals despite obstacles that may arise.
Accepts setbacks and challenges as improvement opportunities
Reduced department expenses by 25 percent.
Completed required training and certification.
Collaboration	Strongly Disagree	Disagree	Agree	Strongly Agree
Avoids promoting a hyper competitive culture in favor of a more collaborative one.
Promotes a culture of collaboration rather than rivalry.
Participates in the team's deliberations.
Fosters a cooperative environment rather than a highly competitive one.
Readily shares information with other group members.
Accountability	Strongly Disagree	Disagree	Agree	Strongly Agree
Exhibits a sense of ownership of the process.
Reviews performance to determine areas for improvement.
Establishes minimum performance standards.
Takes full responsibility for project outcomes.
Sets clear performance measures.
Bias for Action	Strongly Disagree	Disagree	Agree	Strongly Agree
Divides large tasks into smaller more manageable steps to maintain momentum.
Always delivers on promises.
Takes the initiative to get things done.
Motivates others to achieve or exceed goals
Communicates clear goals, priorities, and deadlines to the team to ensure progress is maintained.
Passion To Learn	Strongly Disagree	Disagree	Agree	Strongly Agree
Embraces new technology and procedures.
Is open to feedback from others.
Demonstrates through personal behavior the commitment to high standards of performance.
Creates an environment that supports personal development and exploration.
Enhances value to the company through additional training and development.
Leadership	Strongly Disagree	Disagree	Agree	Strongly Agree
Sits down regularly with employees to review their job performance.
Provides employees with the authority and resources needed to make decisions within their roles.
Provides coaching and guidance when needed but avoids micromanaging.
Encourages mentoring relationships.
Shares information with the employees in the department.
Developing Others	Strongly Disagree	Disagree	Agree	Strongly Agree
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Tries to ensure employees are ready to move to the next level.
Creates a work environment that fosters positive feedback to employees.
Assesses employees' developmental needs.
Supports the successes of other employees.

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

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

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