Decision Making - 360 Degree Feedback Survey Sample #10

360 Feedback 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)

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 comment section for that competency. 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.

Decision Making

  • Does not lose sight of the big picture when making decisions
  • Seeks input from key people who should be involved in, or will be affected by, decisions
  • Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
  • Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
  • Asks for additional information when making critical decisions.
If [Participant Name] were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?

Change Management

  • Assists others in understanding changes to the organization.
  • Works cooperatively with others to implement changes.
  • Effective in dealing with ambiguous and challenging situations.
  • Adopts changes to set and example for others to follow.
  • Effective in implementing new organizational vision and values.
If [Participant Name] were to make improvements in Change Management, what are your suggestions for how he/she can improve this?


  • Works to eliminate unnecessary work or barriers that get in others' way.
  • Contributes to a positive and fun work environment.
  • Contributes to a positive work environment.
  • Builds open and trusting relationships.
  • Is gracious and professional in their interactions with others.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?

Strategic Focus

  • Communicates goals and objectives to employees.
  • Understands their role within the organization.
  • Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
  • Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
  • Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
If [Participant Name] were to make improvements in Strategic Focus, what are your suggestions for how he/she can improve this?


  • Works quickly when faced with difficult problems.
  • Does whatever it takes (within reason) to get the job done.
  • Makes effective decisions, even when under pressure.
  • Drives and mobilizes others progress toward goals.
  • Is not afraid to take corrective action when necessary.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?
Overall, please rate the effectiveness of [Participant Name Here].


Areas for Development

Please give any final comments or suggestions for [Participant Name Here]'s assessment.