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Decision Making - 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Questionnaires Measuring Decision Making:
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)
Dear Employee:

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 Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Sample Result Document:
Sample Results
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.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team



Decision Making

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Asks for additional information when making critical decisions.
  1. Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
  1. Is able to make decisions quickly.
  1. Does not lose sight of the big picture when making decisions
  1. Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions


Juggling Multiple Responsibilities

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  1. Is aware of the deadlines for specific tasks/assignments.
  1. Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
  1. Switches attention to more urgent tasks when necessary.
  1. Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.


Regulatory/Compliance

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Addresses issues quickly before they develop into major problems.
  1. Works quickly to implement changes in regulations.
  1. Complies with trade agreements affecting international companies.
  1. Keeps up-to-date with legislation affecting employees.
  1. Complies with regulatory requirements for the state.


Empowering Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Supports the decisions of others.
  1. Trusts employees to complete tasks assigned.
  1. Encourages employees to solve problems on their own.
  1. Trusts employees are able to complete assigned tasks.
  1. Is confident in the abilities of employees assigned important tasks.


Strategic Insight

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Analyzes unique issues or problems impacting the Company.
  1. Communicates vision for the department and company.
  1. Formulates strategies and action plans to ensure successful completion of goals and objectives.
  1. Implements long-term solutions to problems.
  1. Identifies root causes of problems.


Vision

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Persuades others to follow the Company's vision.
  1. Works to support the strategy of [Company]
  1. Communicates a vision of where the Company needs to be in the future.
  1. Understands the vision of the Company and promotes it ahead of any self-interests.
  1. Develops action plans to align his/her work with the goals of the organization


Global Perspective

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Applies knowledge of overseas markets.
  1. Attends training seminars and conferences to increase skills in working with others globally.
  1. Facilitates open communication with individuals from other countries.
  1. Builds working relationships with others across cultures.
  1. Is able to work with individuals having different backgrounds and cultures.



  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.