Company- 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Company:
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)

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.

Sample Result Document:
Sample Results
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 .


Agree Unsure Disagree N/A
  1. Understands the "basics" as to how [Company] functions/operates.
  1. Attends [Company] gatherings and social events.
  1. Follows existing procedures and processes.
  1. Understands the use of [Company] products and services.
  1. Expresses loyalty and dedication to [Company] in interactions with others.

Strategic Focus

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

Bias for Action

Agree Unsure Disagree N/A
  1. Encourages risk taking and experimentation to improve performance
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Completes work on time
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
  1. Motivates others to achieve or exceed goals

Continual Learning

Agree Unsure Disagree N/A
  1. Builds on their strengths while addressing their weaknesses.
  1. Takes the initiative to learn new skills.
  1. Pursues self-improvement through continual learning.
  1. Pursues professional development opportunities when they arise.
  1. Is open to new ideas and concepts.


Agree Unsure Disagree N/A
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Contributes to a positive and fun work environment.
  1. Treats all people fairly and with respect.
  1. Contributes to a positive work environment.

Persuasion and Influence

Agree Unsure Disagree N/A
  1. Communicates effectively with others.
  1. Ensures stakeholders are involved in the decision making process.
  1. Develops a good rapport with others.
  1. Seeks to obtain consensus or compromise.
  1. Attempts to persuade others rather than simply control them.

Managing Risk

Agree Unsure Disagree N/A
  1. Creates a risk management strategy for the department.
  1. Responds appropriately to unexplained or unanticipated events.
  1. Rewards innovative experiments to try new ideas.
  1. Performs regular risk analyses to minimize adverse outcomes.
  1. Perceives the risks of different work tasks and activities.

Co-worker Development

Agree Unsure Disagree N/A
  1. Takes immediate action on poor performance
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Provides ongoing feedback to co-workers on their development progress
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Sets and clearly communicates expectations, performance goals, and measurements to others


Agree Unsure Disagree N/A
  1. Recognizes individuals for a specific outstanding achievement.
  1. Readily shares credit and gives others opportunity for visibility.
  1. Is sincerely interested in the suggestions of co-workers
  1. Recognizes team members who offer a significant contribution to a project.
  1. Recognizes the abilities and skills of self and others

  1. Overall, please rate the effectiveness of [Participant Name Here].

  2. Strengths

  3. Areas for Development

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