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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.

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. Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
  1. Seeks input from key people who should be involved in, or will be affected by, decisions
  1. Does not lose sight of the big picture when making decisions
  1. Asks for additional information when making critical decisions.
  1. Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action


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. Assesses current capabilities before committing to new requests from customers.
  1. Bounces back from daily crisis, disappointments and frustrations.
  1. Can multi-task while performing all of their other responsibilities and activities.
  1. Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.


Regulatory/Compliance

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Addresses issues quickly before they develop into major problems.
  1. Follows all safety regulations and procedures.
  1. Ensures regulations are followed as required.
  1. Performs audits regularly, or without notice, to ensure proper compliance with regulations.
  1. Maintains a state of readiness to address new and changing regulations and procedures.


Empowering Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Allows individuals to be responsible for their decisions.
  1. Provides support and resources needed to accomplish goals.
  1. Encourages employees to solve problems on their own.
  1. Distributes the workload to subordinates.
  1. Avoids micromanaging their employees.


Strategic Insight

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Analyzes unique issues or problems impacting the Company.
  1. Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
  1. Identifies root causes of problems.
  1. Implements long-term solutions to problems.
  1. Formulates policies and strategies for addressing the Company's important challenges.


Vision

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Persuades others to follow the Company's vision.
  1. Develops action plans to align his/her work with the goals of the organization
  1. Demonstrates consistency between words and actions
  1. Understands the vision of the Company and promotes it ahead of any self-interests.
  1. Creates a common vision for others.


Global Perspective

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Aligns personal vision with global strategies.
  1. Accepts setbacks and challenges in foreign markets as improvement opportunities
  1. Understands how cultures differ and how these differences impact work behavior.
  1. Demonstrates working knowledge of global transactions.
  1. Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.



  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.