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. 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. Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
  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.


Agree Unsure Disagree N/A
  1. Makes sure that team members have a clear idea of our group's goals.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Makes sure that I have a clear idea of our group's goals.
  1. Goal Setting
  1. Achieves goals.

Passion To Learn

Agree Unsure Disagree N/A
  1. Enhances value to the company through additional training and development.
  1. Creates an environment that supports personal development and exploration.
  1. Embraces new technology and procedures.
  1. Constantly enhances product knowledge through experimentation and play.
  1. Holds self and associates accountable for goal achievement.

Continual Improvement

Agree Unsure Disagree N/A
  1. Promotes training and development opportunities to enhance job performance.
  1. Looks for ways to expand and learn new job skills.
  1. Looks for ways to improve work processes and procedures.
  1. Analyzes processes to determine areas for improvement.
  1. Open to the suggestions from others.

Developing Others

Agree Unsure Disagree N/A
  1. Encourages employees through recognition of positive changes in behavior.
  1. Creates a work environment that fosters positive feedback to employees.
  1. Creates opportunities for professional development.
  1. Provides constructive feedback to others.
  1. Tries to ensure employees are ready to move to the next level.

Persuasion and Influence

Agree Unsure Disagree N/A
  1. Understanding what others need.
  1. Communicates effectively with others.
  1. Seeks to obtain consensus or compromise.
  1. Develops a good rapport with others.
  1. Ensures stakeholders are involved in the decision making process.

Results Oriented

Agree Unsure Disagree N/A
  1. Does not become distracted by non-issues or interruptions.
  1. Explains the "whys" behind organizational objectives
  1. Stays focused on meeting the needs of customers.
  1. Helps others when free-time is available.
  1. Directs team in prioritizing daily work activities


Agree Unsure Disagree N/A
  1. Demonstrates the analytical skills to do their job.
  1. Takes a lot of pride in their work.
  1. Is planful and organized.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Produces high quality work.


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

Business Acumen

Agree Unsure Disagree N/A
  1. Asks the 'right' questions to size up or evaluate situations.
  1. Considers impact of actions on other areas of the organization.
  1. Applies the knowledge of work processes to influence the achievement of business goals
  1. Able to align resources to meet the business needs of the company.
  1. Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance

Strategic Insight

Agree Unsure Disagree N/A
  1. Identifies potential problems before they become critical incidents.
  1. Formulates policies and strategies for addressing the Company's important challenges.
  1. Identifies root causes of problems.
  1. Analyzes records and reports to obtain insight into potential issues and trends.
  1. Formulates strategies and action plans to ensure successful completion of goals and objectives.


Agree Unsure Disagree N/A
  1. Communicates the vision and strategy of [Company]
  1. Behaves in a way that is consistent with business values & code of conduct
  1. Communicates a vision of where the Company needs to be in the future.
  1. Leads employees in new directions.
  1. Demonstrates consistency between words and actions

  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.