Excellence - 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Excellence:
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.

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. Keeps themselves and others focused on constant improvement.
  1. Can be counted on to add value wherever they are involved.
  1. Demonstrates the analytical skills to do their job.
  1. Is planful and organized.
  1. Takes a lot of pride in their work.

Communication Skills

Agree Unsure Disagree N/A
  1. Asks follow-up questions as needed.
  1. Listens to others' points of view with an open mind
  1. Presents issues, ideas, and strategy concisely and clearly.
  1. Addresses issues of key importance to stakeholders.
  1. Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)


Agree Unsure Disagree N/A
  1. Follows tasks to completion.
  1. Establishes relationships of trust, honesty, fairness, and integrity.
  1. Protects the integrity and confidentiality of information
  1. Fosters a high standard of ethics and integrity.
  1. Demonstrates sincerity in actions with others.


Agree Unsure Disagree N/A
  1. Shares past experiences with others as learning opportunities.
  1. Considers other's opinion and suggestions.
  1. Looks to others for input.
  1. Asks others for their ideas and opinions.
  1. Seeks feedback to enhance performance.

Project Management

Agree Unsure Disagree N/A
  1. Defines project outcomes based on customer requirements.
  1. Works with customers and clients to assess their needs and define project parameters.
  1. Maintains costs and expenses within budget limits.
  1. Develops performance measures for various aspects of the project.
  1. Organizes work and sets priorities as needed.


Agree Unsure Disagree N/A
  1. Always strives to produce the highest quality work products.
  1. Analyze what occurred and re-adjusts accordingly when goals are not met.
  1. Holds employees accountable for their quality of work.
  1. Encourages others to achieve high quality standards.
  1. Reflects on what is working and what could be improved.

Time Management

Agree Unsure Disagree N/A
  1. Focuses on tasks that have high priority.
  1. Uses agendas when chairing or facilitating meetings.
  1. Leaves time in the schedule for unplanned contingencies.
  1. Completes high-priority work within required timelines.
  1. Sets a good balance between work and family life.

Results Oriented

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

Empowering Others

Agree Unsure Disagree N/A
  1. Allows individuals to be responsible for their decisions.
  1. Encourages employees to solve problems on their own.
  1. Avoids micromanaging their employees.
  1. Encourages others to obtain necessary skills and training.
  1. Provides support and resources needed to accomplish goals.


Agree Unsure Disagree N/A
  1. Is sincerely interested in the suggestions of co-workers
  1. Readily shares credit and gives others opportunity for visibility.
  1. Finds opportunities to recognize others.
  1. Reinforces and rewards employees for accomplishing necessary goals.
  1. Recognizes the abilities and skills of self and others

Fiscal Management

Agree Unsure Disagree N/A
  1. Monitors spending.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Monitors expenses and verifies the need for items purchased.
  1. Provides budgeting and accounting support to the Company.

  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.