Decision Making - 360 Degree Feedback Survey Sample #8

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)

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 .

Decision Making

Agree Unsure Disagree N/A
  1. Determines constraints that may impact what decisions are acceptable.
  1. Defines parameters that will impact the decision making process.
  1. Seeks input from key people who should be involved in, or will be affected by, decisions
  1. Uses reasonable assumptions and logic to decide between alternate courses of action
  1. Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action


Agree Unsure Disagree N/A
  1. Establishes and documents goals and objectives.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Makes sure that team members have a clear idea of our group's goals.
  1. Understands & contributes to development of strategic goals.
  1. Goal Setting

Passion To Learn

Agree Unsure Disagree N/A
  1. Enhances value to the company through additional training and development.
  1. Enjoys learning new skills and techniques.
  1. Will participate in training classes even if offered outside of normal working hours.
  1. Demonstrates through personal behavior the commitment to high standards of performance.
  1. Demonstrates a willingness to participate in continuing education courses.

Continual Improvement

Agree Unsure Disagree N/A
  1. Looks for ways to expand current job responsibilities.
  1. Looks for ways to expand and learn new job skills.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Open to the suggestions from others.

Developing Others

Agree Unsure Disagree N/A
  1. Creates a work environment that fosters positive feedback to employees.
  1. Assigns tasks and responsibilities to develop skills of others.
  1. Recognizes and celebrates accomplishments of others.
  1. Develops employees by offering and encouraging them to take on new or additional responsibilities.
  1. Encourages employees through recognition of positive changes in behavior.

Persuasion and Influence

Agree Unsure Disagree N/A
  1. Persuades others to consider alternative points of view.
  1. Ensures stakeholders are involved in the decision making process.
  1. Communicates effectively with others.
  1. Develops a good rapport with others.
  1. Attempts to persuade others rather than simply control them.

Results Oriented

Agree Unsure Disagree N/A
  1. Demonstrates the personal confidence to "stay the course," even when faced with difficulty
  1. Does not become distracted by non-issues or interruptions.
  1. Helps others when free-time is available.
  1. Provides clear expectations for employees.
  1. Works toward achievement of goals even when confronted with obstacles.


Agree Unsure Disagree N/A
  1. Keeps themselves and others focused on constant improvement.
  1. Produces high quality work.
  1. Can be counted on to add value wherever they are involved.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Takes a lot of pride in their work.


Agree Unsure Disagree N/A
  1. Is ready to offer help
  1. Takes responsibility for things that go wrong
  1. Keep staff informed about what is happening in the company
  1. Delegate tasks effectively
  1. Makes you feel enthusiastic about your work

Business Acumen

Agree Unsure Disagree N/A
  1. Understands and applies business and financial principles.
  1. Has a good understanding of liabilities and assets.
  1. Applies the knowledge of work processes to influence the achievement of business goals
  1. Calculates return on investment (ROI) for various business projects.
  1. Interprets data to make informed business decisions.

Strategic Insight

Agree Unsure Disagree N/A
  1. Communicates vision for the department and company.
  1. Formulates strategies and action plans to ensure successful completion of goals and objectives.
  1. Analyzes unique issues or problems impacting the Company.
  1. Formulates policies and strategies for addressing the Company's important challenges.
  1. Creates strategies that significantly benefit the Company.


Agree Unsure Disagree N/A
  1. Demonstrates consistency between words and actions
  1. Creates a positive vision of the future for the Company.
  1. Communicates the vision and strategy of [Company]
  1. Communicates a vision of where the Company needs to be in the future.
  1. Leads employees in new directions.

  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.