Initiative - 360 Degree Feedback Survey Sample #13

Instructions

You have been selected to provide valuable feedback for the manager listed above. Your insights are an important part of [Participant]'s leadership development process. This tool is designed to gather broad and comprehensive feedback on the core competencies and role responsibilities that are crucial for the continuous success of our organization.

When responding to the assessment form, please consider your experiences working with this individual over the past six to twelve months. Reflect on specific instances, interactions, and overall performance that you have observed. Your responses will be combined with feedback from other colleagues to create a holistic view of the manager's strengths and areas for improvement. This collective feedback will be used to guide their ongoing professional development.

Please be candid and constructive in your comments, as they will be shared anonymously with the manager. Your feedback will be instrumental in helping them understand their impact on the team and the organization, and in identifying opportunities for growth. We appreciate your time and effort in contributing to this important process.

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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Initiative	Strongly Disagree	Disagree	Agree	Strongly Agree
Is proactive when preparing for potential problems or critical events.
Takes action in the absence of specific direction.
Initiates draft reports for consideration.
Looks to start work on new projects without waiting for direction from the manager.
Gladly seeks additional responsibilities.
Takes corrective action to rectify issues.
Is an inspiration for others to perform above expectations.
Takes appropriate actions to address problems or issues.
Begins immediate action on projects.
Achievement	Strongly Disagree	Disagree	Agree	Strongly Agree
Champions process improvements that enhance productivity, compliance, and overall success.
Is flexible in adjusting priorities to meet the demands of changing situations.
Reduced department expenses by 25 percent.
Increased revenue for the company.
Moves decisively to complete initiatives ahead of schedule.
Bias for Action	Strongly Disagree	Disagree	Agree	Strongly Agree
Is accountable for the outcomes of decisions, whether they lead to success or require adjustments.
Adapts to changing circumstances and finds new ways to achieve goals.
Develops contingency plans for various scenarios, ensuring the team is prepared for different outcomes.
Prioritizes tasks effectively, often choosing tasks that have the highest impact or urgency.
Maintains concentration and avoiding distractions to ensure consistent progress.
Collaboration	Strongly Disagree	Disagree	Agree	Strongly Agree
Keeps everyone aligned and motivated to maintain a cohesive and productive team.
Effectively uses digital tools do you use to improve collaboration in the department.
Involves others in reaching a consensus during group activities.
Promotes a culture of collaboration, shared inspiration and creativity to tackle workplace problems.
Effectively works with others to create solutions to problems.
Fiscal Management	Strongly Disagree	Disagree	Agree	Strongly Agree
Develops of the department's annual budget.
Monitors expenses and verifies the need for items purchased.
Ensures others follow the correct rules and regulations on fiscal matters.
Keeps excellent records for financial transparency.
Monitors spending.
Passion To Learn	Strongly Disagree	Disagree	Agree	Strongly Agree
Creates an environment that supports personal development and exploration.
Stays up-to-date on emerging technologies.
Demonstrates a willingness to participate in continuing education courses.
Enhances value to the company through additional training and development.
Exhibits willingness to upgrade skills through additional training and education.
Attitude	Strongly Disagree	Disagree	Agree	Strongly Agree
Approaches failures as stepping stones toward improvement.
Encourages team members of the potential benefits of taking a bold step, even if success isn't guaranteed.
Celebrates team achievements with genuine enthusiasm, showcasing investment in collective success.
Exhibits a professional and gracious demeanor.
Looks for ways to succeed in spite of any obstacles or circumstances.
Performance	Strongly Disagree	Disagree	Agree	Strongly Agree
Works well in this position.
Listens and responds to issues and problems
Able to organize work.
Effectively organizes resources and plans
Has great overall performance

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

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

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