Communication - 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 .

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Communication Skills	Agree	Unsure	Disagree	N/A
Distills complex ideas into simple, understandable components.
Informs supervisor about progress made on goals and objectives.
Effectively delivers presentations to teams, large groups, and diverse audiences
Transforms complicated ideas into simple ones.
Responds in a timely manner, respecting deadlines and others' schedules.
Self Management	Agree	Unsure	Disagree	N/A
Consciously controls own negative emotions in order to keep team morale up.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Passion To Learn	Agree	Unsure	Disagree	N/A
Embraces new technology and procedures.
Will participate in training classes even if offered outside of normal working hours.
Is open to feedback from others.
Constantly enhances product knowledge through experimentation and play.
Enjoys learning new skills and techniques.
Feedback	Agree	Unsure	Disagree	N/A
Supports employee development by providing targeted training and resources.
Engages in productive performance feedback conversations by focusing on their purpose: to support the employee's professional growth.
Seeks feedback from team members, senior leaders, and external stakeholders to gain diverse perspectives and insights that inform decision-making and strategy.
Selects an appropriate set of individuals (peers, subordinates, customers) to provide feedback through a 360-Feedback system.
Leverages feedback from multiple sources to offer a comprehensive perspective on the employee.
Time Management	Agree	Unsure	Disagree	N/A
Directs energy toward strategic priorities to ensure alignment with organizational goals.
Does not become flustered by deadlines and timelines.
Zeroes in on high-impact deliverables, bypassing low-value distractions.
Leverages calendars to help keep better track of events.
Stops doing things that have suddenly become unnecessary or irrelevant.
Trustworthy	Agree	Unsure	Disagree	N/A
Delivers on promises made.
Takes care to maintain confidential information.
Is trustworthy; is someone I can trust.
Takes ownership, delivers on commitments
Works in a way that makes others want to work with her/him.
Others	Agree	Unsure	Disagree	N/A
Helpful
Works across boundaries within the organization.
Works effectively with people from other departments.
Constructively receives criticism and suggestions from others.
...treats others with respect and dignity.
Strategic Focus	Agree	Unsure	Disagree	N/A
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Develops strategies that are practical and can be feasibly implemented within a reasonable period of time.
Supports changes being recommended from senior management.
Effective in strategy formulation and execution.
Identifies areas where return on investment can be improved.
Company	Agree	Unsure	Disagree	N/A
Is proud of the work done by employees in the department.
Monitors resource utilization to ensure cost-effectiveness without compromising quality.
Builds strong partnerships with local organizations, schools, and nonprofits to advance shared goals.
Emphasizes the importance of teamwork at the Company.
Supports [Company]'s human resources initiatives and objectives.
Global Perspective	Agree	Unsure	Disagree	N/A
Volunteers for experiences and assignments abroad.
Able to listen and understand others and discuss issues in a respectful way.
Can effectively deliver presentations to international clients.
Facilitates open communication with individuals from other countries.
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.

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.