In keeping with [Company Name]’s goal to continuously improve, we are asking for your candid feedback on the performance of your manager this past year. A summary of all feedback received will be prepared for each individual manager so that he or she can use the feedback to learn and develop as a manager. Your individual feedback will be averaged into all the responses received in order to protect your anonymity and ensure that the results each manager receives are completely confidential. HR will also prepare an overall summary to assess areas for additional company-provided management training.
Thank you for your contribution to this very important process.
Name of Manager:_________________________________________________
Completed by (optional):____________________________________________
Using the following rating scale, please circle the number that best reflects your rating of your manager’s performance during the past year.
| Rating Scale | |
| 1 | Unacceptable |
| 2 | Needs improvement |
| 3 | Meets standard |
| 4 | Exceeds standard |
| 5 | Outstanding |
| 6 | Have not experienced or observed |
Treats people fairly, without showing favoritism
Recognizes and rewards my individual contributions in a manner meaningful to me
| Interdependent Behaviors | |
| Supports a team environment by recognizing and rewarding collaboration, cooperation and activities contributing to others' success | 1 2 3 4 5 6 |
| Recognizes and rewards team-supportive actions and behaviors | |
Sets a clear direction for our department
| Valuing Diversity Behaviors | |
| Ensures that department activities are inclusive by verifying scheduling needs | 1 2 3 4 5 6 |
| Seeks input/feedback from diverse individuals and groups, including internal and external customers | 1 2 3 4 5 6 |
| Treats everyone with respect and fairness | 1 2 3 4 5 6 |
Provides a clear sense of purpose and direction, roles and responsibilities, for me individually and for our group team members
Optional: Type or print your answers; add additional pages if needed. Please be as specific as possible by including examples.
1. What activities, behavior, feedback or coaching would you like your manager to stop doing? Please explain.
2. List and briefly describe examples of the behavior, activities, feedback or coaching your manager has provided that makes your job and work environment more enjoyable and meaningful to you.
3. Please provide comments that you feel will be meaningful for your manager to sustain or improve his or her effectiveness.