Commitment to Result - 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Commitment to Results:
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)

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.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .

Commitment To Result

Agree Unsure Disagree N/A
  1. Creates a sense of urgency among the store team members to complete activities, which drive sales.
  1. Coordinates all department activities into a cohesive team effort.
  1. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  1. Maintains persistence and dedication to achieving results.
  1. Committed to the team.

Establishing Focus/Direction

Agree Unsure Disagree N/A
  1. Maintains focus when handling several problems or tasks simultaneously.
  1. Sets appropriate goals for employees.
  1. Stays focused even when under pressure and stress.
  1. Excellent at managing time.
  1. Makes sure that employees understand and identify with the team's mission.

Strategic Focus

Agree Unsure Disagree N/A
  1. Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
  1. Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
  1. Understands their role within the organization.
  1. Looks for opportunities to enhance contributions to the bottom line.
  1. Able to decline a poor strategy by proposing alternate strategies.


Agree Unsure Disagree N/A
  1. Encourages others to adopt new procedures.
  1. Implements changes as a result of having listened to employees
  1. Can handle changes without complaining.
  1. Works effectively during periods of change.
  1. Identifies new opportunities to achieve goals

Passion To Learn

Agree Unsure Disagree N/A
  1. Actively seeks to learn by asking questions and listening to all store associates.
  1. Critiques own performance and learns from experience as a source of continuous improvement.
  1. Holds self and associates accountable for goal achievement.
  1. Takes initiative for own learning and development.
  1. Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.

Cultural Awareness

Agree Unsure Disagree N/A
  1. Encourages a work environment where individual differences are valued.
  1. Seeks out different viewpoints and benefits from different perspectives.
  1. Recognizes and values individual and cultural differences.
  1. Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
  1. Shows respect in daily interactions

Administrative Skill

Agree Unsure Disagree N/A
  1. Has strong technical/computer skills.
  1. Accurately implements contract provisions.
  1. Able to develop, justify and present a budget.
  1. High attention to detail.
  1. Strong organizational skills to keep the workspace and department in order


Agree Unsure Disagree N/A
  1. Builds upon the ideas and solutions of others.
  1. Challenges current procedures to develop other alternatives.
  1. Suggests new ideas at meetings.
  1. Implements best practices within the department.
  1. Analyzes current procedures and identifies opportunities for improvement.


Agree Unsure Disagree N/A
  1. Encourages me to take on greater responsibility.
  1. Ability to establish realistic goals.
  1. Able to organize work.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Communicates goals and objectives to employees.

Empowering Others

Agree Unsure Disagree N/A
  1. Avoids micromanaging their employees.
  1. Encourages others to obtain necessary skills and training.
  1. Encourages employees to solve problems on their own.
  1. Distributes the workload to subordinates.
  1. Provides support and resources needed to accomplish goals.


Agree Unsure Disagree N/A
  1. Supports a partnering/networking culture.
  1. Maintains infrastructure to support partnerships and networks.
  1. Forges mutually beneficial relationships between individuals with diverse backgrounds.
  1. Collaborates with others to accomplish goals and objectives.
  1. Creates the conditions for partnerships to grow and develop.


Agree Unsure Disagree N/A
  1. Encourages risk taking for developing potential business opportunities.
  1. Has a strategic awareness on how to promote the organization.
  1. Able to adapt the department to changing business demands and climate.
  1. Finds unique ways to go around barriers to success.
  1. Devotes a certain amount of time and effort to developing new business opportunities.

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.