Global Perspective- 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Global Perspective:
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 .

Global Perspective

Agree Unsure Disagree N/A
  1. Builds working relationships with others across cultures.
  1. Communicates effectively on a multi-lingual basis.
  1. Facilitates open communication with individuals from other countries.
  1. Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
  1. Sets the example for team on importance of cultural awareness.

Conflict Management

Agree Unsure Disagree N/A
  1. Clearly expresses expectations to others.
  1. Deals effectively with employee grievances.
  1. Tries to understand others' point of view before making judgments
  1. Assists team members by helping them see the other point of view.
  1. Helps employees to think through alternative ways to resolve conflict situations.


Agree Unsure Disagree N/A
  1. Creates a climate that encourages team participation.
  1. Coaches team members
  1. Creates a culture that fosters and values collaboration.
  1. Facilitates team discussions and problem-solving
  1. Identifies and resolves conflicts within the team to increase team effectiveness


Agree Unsure Disagree N/A
  1. Defines roles, rights, and responsibilities of employees.
  1. Develops goals and establishes objective measures of success.
  1. Is someone you can trust.
  1. Keeps supervisor informed of recent events.
  1. Accepts accountability for their actions and results.

Passion To Learn

Agree Unsure Disagree N/A
  1. Embraces new technology and procedures.
  1. Is open to feedback from others.
  1. Is open minded and curious about learning new skills.
  1. Constantly enhances product knowledge through experimentation and play.
  1. Enhances value to the company through additional training and development.

Emotional Intelligence

Agree Unsure Disagree N/A
  1. Is able to express themselves clearly.
  1. Is able to manage their own emotions.
  1. Is able to control their own emotions.
  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.


Agree Unsure Disagree N/A
  1. Keep staff informed about what is happening in the company
  1. Is ready to offer help
  1. Makes you feel enthusiastic about your work
  1. Sets an example for others to follow
  1. Takes responsibility for things that go wrong


Agree Unsure Disagree N/A
  1. Keeps themselves and others focused on constant improvement.
  1. Demonstrates the analytical skills to do their job.
  1. Produces high quality work.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Can be counted on to add value wherever they are involved.


Agree Unsure Disagree N/A
  1. Consistently keeps commitments.
  1. Is trustworthy; is someone I can trust.
  1. Communicates an understanding of the other person's interests, needs and concerns.
  1. Is a person you can trust.
  1. Delivers on promises made.

  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.