Mgr Report Card

Manager Report Card

The purpose of this exercise is to help your manager better understand how others perceive him or her. At least four other people are completing a form like this one for this manager. The information from you is confidential and will be presented to your manager in a cumulative group report. Thank you for sharing your perspective.

IMPORTANT: Your responses are not counted until you click the "Submit Evaluation" button at the bottom of the form.

Part 1 - Background Information		Use the Drop-down Box to Answer Each Question
1.)	Please select the name of the person you are evaluating.	Select Name Cathy DensonJerre JohnsonSteve ReevesJohn Smith
2.)	Choose the item from the list that completes this statement. (I am this person's _______?)	Peer Supervisor/Mgr Direct Report Other Self
3.)	Please type your name for administrative purposes. Your evaluation will be strictly confidential. All evaluations are combined with at least 2 other responses and reported as a group.
Part 2 - Feedback		Click on the Button to Answer Each Question
R	Providing Constructive Feedback	Strongly Agree	Agree	Neutral/ Don't Know	Disagree	Strongly Disagree
1.)	Provides criticism in a positive, constructive way
2.)	Helps you understand how the business works
3.)	Gives clear instructions and directions
4.)	Informs you of the organization's plans and your role in the plans
5.)	Handles disciplinary issues well
6.)	Provides accurate performance evaluations
Please use this space to add any comments you have regarding Providing Constructive Feedback
S	Assisting with Development	Strongly Agree	Agree	Neutral/ Don't Know	Disagree	Strongly Disagree
1.)	Helps eliminate barriers that prevent you from doing your job
2.)	Acts as a mentor to help you advance your career
3.)	Recognizes accomplishments of you and others
4.)	Involves you in decisions that affect your work
5.)	Sets an example for exceptional customer service
6.)	Supports your training, development and education
Please use this space to add any comments you have regarding Assisting with Development
T	Setting an Example	Strongly Agree	Agree	Neutral/ Don't Know	Disagree	Strongly Disagree
1.)	Makes the workplace fun
2.)	Is an innovative manager
3.)	Follows up on promises and commitments
4.)	Works as hard as you do
5.)	Is accessible when you have questions or need help
6.)	Listens to your questions and ideas
Please use this space to add any comments you have regarding Setting an Example

Please avoid duplicates by clicking Submit only once.
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