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

  • Exercises good judgment by making sound and informed decisions.
  • Defines parameters that will impact the decision making process.
  • Seeks input from key people who should be involved in, or will be affected by, decisions
  • Has enough self-control to avoid making impulsive decisions.
  • Makes decisions independently (without having to be told what or how).
If [Participant Name] were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?

Change Management

  • Facilitates change with minimal resistance.
  • Addresses organizational and departmental resistance to changes.
  • Effective in dealing with ambiguous and challenging situations.
  • Is a leading force driving changes.
  • Inspires others to want to change.
If [Participant Name] were to make improvements in Change Management, what are your suggestions for how he/she can improve this?


  • Builds open and trusting relationships.
  • Contributes to a positive work environment.
  • Is gracious and professional in their interactions with others.
  • Contributes to a positive and fun work environment.
  • Treats all people fairly and with respect.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?

Strategic Focus

  • Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
  • Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
  • Communicates goals and objectives to employees.
  • Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
  • 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.
  • Drives and mobilizes others progress toward goals.
  • Effectively makes decisions
  • 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.