Bias for Action - 360 Degree Feedback Survey Sample #11

360 Feedback Survey

Questionnaires Measuring Bias for Action:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Bias for Action

What does Bias for Action mean?
It means that ...
  • You identify ways to simplify work processes and reduce cycle times
  • You coach others to foster an environment which can adapt quickly and willingly to rapid change.
  • You project a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
  • You display high energy and enthusiasm on consistent basis.
  • You encourage risk taking and experimentation to improve performance

To what extent does this person exhibit Bias for Action?
Select from one of the ratings below.

Professional Development

What does Professional Development mean?
It means that ...
  • You encourage employees to take courses relevant to their job.
  • You are contributing fully to the extent of your skills
  • You quickly acquire and apply new knowledge and skills when needed
  • You allow employees to fully participate in employee training and professional development.
  • You demonstrate enthusiasm and a willingness to learn new skills and knowledge

To what extent does this person exhibit Professional Development?
Select from one of the ratings below.


What does Delegation mean?
It means that ...
  • You clearly define duties and tasks to be completed.
  • You assign tasks to create learning opportunities for the employees.
  • You delegate authority and responsibility to subordinates and holds them accountable for your actions.
  • You delegate tasks, responsibilities, and accountability as appropriate to the level of employee.
  • You define the roles, responsibilities, required actions, and deadlines for team members.

To what extent does this person exhibit Delegation?
Select from one of the ratings below.

Managing Risk

What does Managing Risk mean?
It means that ...
  • You accurately perceive potential risks in the workplace.
  • You create a risk profile for projects and teams.
  • You develop policies for risk management.
  • You perform a risk analysis as needed.
  • You base decisions on patterns found in fluid/changing information.

To what extent does this person exhibit Managing Risk?
Select from one of the ratings below.

Organizational Fluency

What does Organizational Fluency mean?
It means that ...
  • You are aware of other organizational cultures to compare/contrast with the current organizational culture.
  • You understand departmental policies and procedures.
  • You are effective in communicating with others within the organization.
  • You are adept at navigating within the culture of the department.
  • You are able to deal with sensitive issues with tact and professionalism.

To what extent does this person exhibit Organizational Fluency?
Select from one of the ratings below.

Areas for Development

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