Entrepreneurship- 360 Degree Feedback Survey Sample #8

Questionnaires 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)

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 .


Agree Unsure Disagree N/A
  1. Maintains a high level of energy to respond to demands of the job.
  1. Is comfortable operating in an environment of uncertainty.
  1. Able to adapt the department to changing business demands and climate.
  1. Can work effectively in an environment of uncertainty.
  1. Encourages risk taking for developing potential business opportunities.


Agree Unsure Disagree N/A
  1. Creates a common vision for others.
  1. Demonstrates consistency between words and actions
  1. Understands the vision of the Company and promotes it ahead of any self-interests.
  1. Behaves in a way that is consistent with business values & code of conduct
  1. Expresses the Company vision in a way that is easily understood and adopted by employees.

Self Management

Agree Unsure Disagree N/A
  1. Does not allow own emotions to interfere with the performance of others.
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Analyzes interpersonal problems instead of reacting to them.

Continual Improvement

Agree Unsure Disagree N/A
  1. Promotes training and development opportunities to enhance job performance.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Analyzes processes to determine areas for improvement.
  1. Looks for ways to expand current job responsibilities.
  1. Looks for ways to improve work processes and procedures.

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. Persuades others to consider alternative points of view.
  1. Communicates effectively with others.
  1. Able to express own goals and needs.

Change Management

Agree Unsure Disagree N/A
  1. Inspires others to accept changes.
  1. Works cooperatively with others to implement changes.
  1. Effective in dealing with ambiguous and challenging situations.
  1. Facilitates change with minimal resistance.
  1. Addresses organizational and departmental resistance to changes.

Technology Use/Management

Agree Unsure Disagree N/A
  1. Proficient in the use of technical systems and processes.
  1. Uses technology in decision making and problem solving.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Supports technical training and development of employees.
  1. Understands and is committed to implementing new technologies.


Agree Unsure Disagree N/A
  1. Demonstrates a sense of responsibility and commitment to public trust.
  1. Takes care to maintain confidential information.
  1. Communicates an understanding of the other person's interests, needs and concerns.
  1. Delivers on promises made.
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.


Agree Unsure Disagree N/A
  1. Sets a good example
  1. Works in a way that makes others want to work with her/him.
  1. Sets high personal standards of performance.
  1. Is a person you can trust.
  1. Acts as a resource without removing individual responsibility.

  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.