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Entrepreneurship- 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Surveys Measuring Entrepreneurship:
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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going 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.

Competencies Included:
Entrepreneurship, Vision, Communication Skills, Integrity, Attitude, Emotional Intelligence, Management, Innovation, Empowering Others, Others
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team
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Entrepreneurship

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is comfortable operating in an environment of uncertainty.
  1. Excellent at managing relationships with stakeholders.
  1. Seeks and utilizes mentors to help guide professional development.
  1. Finds unique ways to go around barriers to success.
  1. Balances risks and rewards when making decisions.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?

Vision

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Guides employees to prioritize crucial components of the vision.
  1. Ensures that team roles, responsibilities, and metrics are clearly tied to the vision.
  1. Skilled at identifying problems and envisioning effective solutions.
  1. Develops a vision to inspire collective action.
  1. Encourages employees to embrace the departmental vision.
If [Participant Name] were to make improvements in Vision, what are your suggestions for how he/she can improve this?

Communication Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Informs supervisor about progress made on goals and objectives.
  1. Distills complex ideas into simple, understandable components.
  1. Welcomes input and suggestions from others.
  1. Keeps the supervisor informed about achievements and milestones.
  1. Notifies others about developments in plans and goals.
If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?

Integrity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Does the right thing even when negative consequence may result.
  1. Recognizes integrity as a core value of the organization.
  1. Owns up to mistakes without needing to be asked.
  1. Consistently delivers high-quality work, ensuring that every task is completed to the best of their ability.
  1. Always truthful, sincere, and able to justify their actions.
If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?

Attitude

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Enjoys working in the department
  1. Stays optimistic during transitions, reinforcing the idea that change can bring new opportunities.
  1. Remains grounded without a need for grandstanding or theatrics to make an impact.
  1. Listens actively to others without interrupting or dismissing their contributions.
  1. Expresses gratitude for effort, not just outcomes.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?

Emotional Intelligence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Accurately perceives the emotional reactions of others.
  1. Is able to express themselves clearly.
  1. Is able to manage their own emotions.
If [Participant Name] were to make improvements in Emotional Intelligence, what are your suggestions for how he/she can improve this?

Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Models a strong work ethic that elevates team morale and performance.
  1. Creates growth opportunities for employees.
  1. Recognizes and addresses power dynamics that may hinder fair conflict resolution.
  1. Fosters ongoing, two-way communication within the team.
  1. Delegates work to employees that resonates with their interests and strengths.
If [Participant Name] were to make improvements in Management, what are your suggestions for how he/she can improve this?

Innovation

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Creates new programs and systems.
  1. Establishes systems of continuous improvement.
  1. Focuses the team on important innovations.
  1. Develops innovative products or services.
  1. Ensures the workforce maintains cutting-edge technical competencies to support continuous innovation and growth.
If [Participant Name] were to make improvements in Innovation, what are your suggestions for how he/she can improve this?

Empowering Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Encourages employees to take the initiative when responding to an issue.
  1. Gives responsibility for making important decisions to employees.
  1. Motivates and encourages employees to be successful in their jobs.
  1. Values the opinions of others.
  1. Avoids micromanaging their employees.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?

Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Forms working relationships with employees from other departments.
  1. Consistently demonstrates ability and willingness to trust others.
  1. Helpful
  1. Respects the opinions of other employees.
If [Participant Name] were to make improvements in Others, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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