Empowering Others- 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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Empowering Others	Agree	Unsure	Disagree	N/A
Encourages employees to think outside the box.
Recognizes the accomplishments of employees when they complete important assignments.
Avoids micromanaging their employees.
Gives new tasks to employees.
Is confident in the abilities of employees assigned important tasks.
Administrative Skill	Agree	Unsure	Disagree	N/A
Records business transactions in a journal.
Identifies complex problems and reviews related information to develop and evaluate options and implement solutions.
Establishes and maintains structured systems for both physical and digital documents.
Screens calls.
Effective at scheduling project activities and assignments.
Leadership	Agree	Unsure	Disagree	N/A
Incorporates the company Philosophy, Mission Statement, and Core Values into the district's culture so that co-workers accept them as more than just written documents
Focuses others on the necessary tasks that need completion.
Clearly articulates expectations.
Balances positive feedback with constructive criticism to motivate while developing skills.
Able to align manpower, design work, and allocate tasks to achieve goals.
Technical	Agree	Unsure	Disagree	N/A
Knows how to produce high quality products/work.
Is knowledgeable of procedures or systems necessary for the job.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Demonstrates mastery of the technical competencies required in his/her work.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Safety	Agree	Unsure	Disagree	N/A
Participates in safety training as applicable.
Mitigates hazards and safety issues that arise.
Is aware of OSHA safety guidelines.
Works to implement corrective safety measures.
Participates in safety training when offered.
Flexibility	Agree	Unsure	Disagree	N/A
Scales up production capabilities in response to growing service demands.
Can handle changes without complaining.
Willing to change ideas or perceptions based on new information.
Is flexible in solving difficult problems.
Able to make changes to their leadership style after receiving constructive feedback through the performance review.
Conflict Management	Agree	Unsure	Disagree	N/A
Works to meet the basic needs of each side in the conflict.
Investigates opportunities to achieve mutually beneficial solutions to conflicts.
Demonstrates flexibility and willingness to adjust their own approach when it contributes to a more constructive resolution.
Addresses contentious issues earlier rather than later.
Listens to individuals as they offer their unique perspectives on the situation.
Vision	Agree	Unsure	Disagree	N/A
Devoted to carrying out the strategic vision.
Creates and executes a strategic vision that drives the company's growth forward.
Charts a bold course for the department's rapid evolution and expansion.
Creates a common vision for others.
Defines a roadmap for realizing the organization's vision.

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

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

    
    
42. Strengths
    
    
    
43. Areas for Development
    
    
    
44. Please give any final comments or suggestions for [Participant Name Here]'s assessment.