Global Perspective- 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Assessments 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)

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Sample Result Document:
Sample Results
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.

Global Perspective

Definite Strength Meets Standards Needs Development N/A
  1. Applies knowledge of overseas markets.
  1. Facilitates open communication with individuals from other countries.
  1. Able to listen and understand others and discuss issues in a respectful way.
  1. Able to work with others from different cultures and countries.
  1. Accepts setbacks and challenges in foreign markets as improvement opportunities


Definite Strength Meets Standards Needs Development N/A
  1. Able to look ahead (beyond the present) when addressing the work/needs of the department.
  1. Delegates role to team members to accomplish goals.
  1. Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
  1. Able to identify the needs of the department before a major change.
  1. Makes plans and follows through.


Definite Strength Meets Standards Needs Development N/A
  1. Follows existing procedures and processes.
  1. Understands how decisions impact other business units beyond their immediate department of work group.
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Impresses upon others the important aspects of [Company].
  1. Understands the use of [Company] products and services.

Communication Skills

Definite Strength Meets Standards Needs Development N/A
  1. Is an effective communicator
  1. An effective listener who is responsive to information needs.
  1. Communicates effectively with all levels of the organization.
  1. Checks for understanding throughout conversations or group presentations/discussions
  1. Addresses issues of key importance to stakeholders.

Self Management

Definite Strength Meets Standards Needs Development N/A
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. Consciously controls own negative emotions in order to keep team morale up.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. Analyzes interpersonal problems instead of reacting to them.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.


Definite Strength Meets Standards Needs Development N/A
  1. Asks the "right" questions to size up or evaluate situations.
  1. Implements data validation techniques and methods.
  1. Analyzes issues and reduces them to their component parts.
  1. Identifies the root cause of a problem.
  1. Balances risks and costs with the rewards and probabilities of success when decisions.


Definite Strength Meets Standards Needs Development N/A
  1. Offers constructive improvements to existing systems.
  1. Finds creative ways to get things done with limited resources.
  1. Fosters a creative and innovative work environment.
  1. Searches for opportunities and innovative ways to improve the organization.
  1. Creates a safe environment for idea-sharing.

Managing Risk

Definite Strength Meets Standards Needs Development N/A
  1. Develops policies to address risk situations in the workplace.
  1. Perceives the risks of different work tasks and activities.
  1. Is knowledgeable of standard risk management principles.
  1. Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
  1. Improves process safety where possible.

Co-worker Development

Definite Strength Meets Standards Needs Development N/A
  1. Works to identify root causes of performance problems
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Provides ongoing feedback to co-workers on their development progress


Definite Strength Meets Standards Needs Development N/A
  1. Devotes a certain amount of time and effort to developing new business opportunities.
  1. Encourages dynamic growth opportunities.
  1. Takes the initiative to complete tasks.
  1. Can work effectively in an environment of uncertainty.
  1. Is comfortable operating in an environment of uncertainty.

  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.