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. Respects individual differences.
  1. Analyzes global issues/problems that are having a large impact on the Company.
  1. Facilitates open communication with individuals from other countries.
  1. Accepts setbacks and challenges in foreign markets as improvement opportunities
  1. Communicates effectively on a multi-lingual basis.

Conflict Management

Agree Unsure Disagree N/A
  1. Discusses conflict situations with supervisor.
  1. Tries to understand others' point of view before making judgments
  1. Deals effectively with employee grievances.
  1. Identifies and takes steps to prevent potential confrontations.
  1. Clearly expresses expectations to others.


Agree Unsure Disagree N/A
  1. Actively and openly participates in group meetings.
  1. Encourages teamwork and collaboration.
  1. Actively participates in the work of teams; seeks and listens to others' contributions
  1. Recognizes and respects the contributions and needs of each individual.
  1. Seeks and listens to other's contributions


Agree Unsure Disagree N/A
  1. Creates a consistent process for prioritizing work.
  1. Encourages employees to take on greater responsibilities.
  1. Can be counted on to do what they say they are going to do.
  1. Defines roles, rights, and responsibilities of employees.
  1. Implements and facilitates controls and processes that maintain the integrity of the organization.

Passion To Learn

Agree Unsure Disagree N/A
  1. Holds self and associates accountable for goal achievement.
  1. Demonstrates a willingness to participate in continuing education courses.
  1. Takes advantage of training opportunities when they arise.
  1. Enjoys learning new skills and techniques.
  1. Is committed to enhancing their own knowledge and skills.

Emotional Intelligence

Agree Unsure Disagree N/A
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Accurately perceives the emotional reactions of others.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Is able to express themselves clearly.
  1. Is able to control their own emotions.


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


Agree Unsure Disagree N/A
  1. Is planful and organized.
  1. Demonstrates the analytical skills to do their job.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Can be counted on to add value wherever they are involved.
  1. Takes a lot of pride in their work.


Agree Unsure Disagree N/A
  1. Demonstrates a sense of responsibility and commitment to public trust.
  1. Delivers on promises made.
  1. Consistently keeps commitments.
  1. Is a person you can trust.
  1. Communicates an understanding of the other person's interests, needs and concerns.

  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.