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)

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.

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. Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
  1. Seeks input from key people who should be involved in, or will be affected by, decisions
  1. Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
  1. Is able to make decisions quickly.
  1. Exercises good judgment by making sound and informed decisions.


Agree Unsure Disagree N/A
  1. Establishes and documents goals and objectives.
  1. Understands & contributes to development of strategic goals.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Achieves established goals.
  1. Sets high expectations and goals; encourages others to support the organization.

Passion To Learn

Agree Unsure Disagree N/A
  1. Constantly enhances product knowledge through experimentation and play.
  1. Holds self and associates accountable for goal achievement.
  1. Persists until goals are achieved and commitments are met.
  1. Critiques own performance and learns from experience as a source of continuous improvement.
  1. Takes initiative for own learning and development.

Continual Improvement

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

Developing Others

Agree Unsure Disagree N/A
  1. Creates a work environment that fosters positive feedback to employees.
  1. Is open to receiving feedback.
  1. Recognizes and celebrates accomplishments of others.
  1. Assigns tasks and responsibilities to develop skills of others.
  1. Provides constructive feedback to others.

Persuasion and Influence

Agree Unsure Disagree N/A
  1. Attempts to persuade others rather than simply control them.
  1. Seeks to obtain consensus or compromise.
  1. Communicates effectively with others.
  1. Has excellent influencing/negotiating skills.
  1. Persuades others to consider alternative points of view.

Results Oriented

Agree Unsure Disagree N/A
  1. Encourages a high-energy, fun work environment and coaches others on how to do the same
  1. Inspires and motivates co-workers to be productive and energetic at work
  1. Explains the "whys" behind organizational objectives
  1. Does not become distracted by non-issues or interruptions.
  1. Directs team in prioritizing daily work activities


Agree Unsure Disagree N/A
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Produces high quality work.
  1. Keeps themselves and others focused on constant improvement.
  1. Takes a lot of pride in their work.
  1. Demonstrates the analytical skills to do their job.


Agree Unsure Disagree N/A
  1. Sets an example for others to follow
  1. Makes you feel enthusiastic about your work
  1. Delegate tasks effectively
  1. Takes responsibility for things that go wrong
  1. Is ready to offer help

Business Acumen

Agree Unsure Disagree N/A
  1. Understands complex issues and problems.
  1. Asks the 'right' questions to size up or evaluate situations.
  1. Exhibits behavior that is consistent with the vision, mission, and core values of the organization
  1. Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
  1. Considers impact of actions on other areas of the organization.

Strategic Insight

Agree Unsure Disagree N/A
  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.
  1. Anticipates business cycles and trends and makes adjustments in a timely manner.
  1. Analyzes records and reports to obtain insight into potential issues and trends.


Agree Unsure Disagree N/A
  1. Expresses the Company vision in a way that is easily understood and adopted by employees.
  1. Communicates a vision of where the Company needs to be in the future.
  1. Works to support the strategy of [Company]
  1. Demonstrates consistency between words and actions
  1. Creates a positive vision of the future for the Company.

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.