Goals - 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Goals:
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. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Makes sure that I have a clear idea of our group's goals.
  1. Achieves established goals.
  1. Makes sure that team members have a clear idea of our group's goals.
  1. Sets high expectations and goals; encourages others to support the organization.

Juggling Multiple Responsibilities

Agree Unsure Disagree N/A
  1. Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  1. Assesses current capabilities before committing to new requests from customers.
  1. Builds in extra time in the schedule for unplanned events/occurrences.
  1. Organizes tasks for the most efficient order of completion.
  1. Coordinates the work of a team by assigning tasks to other team members.

Managing Risk

Agree Unsure Disagree N/A
  1. Perceives the risks of different work tasks and activities.
  1. Works within constraints of the organization.
  1. Effectively responds to critical situations to reduce potential for losses.
  1. Is aware of the financial implications of certain risks.
  1. Is knowledgeable of standard risk management principles.


Agree Unsure Disagree N/A
  1. Complies with trade agreements affecting international companies.
  1. Explains regulations and procedures to others as required.
  1. Is aware of federal and local laws affecting employees.
  1. Provides documents and reports as needed to maintain compliance with laws.
  1. Offers training to employees to ensure they are complying with regulations.

Client Focus

Agree Unsure Disagree N/A
  1. Delivers on commitments made to clients.
  1. Ensures clients' expectations are met or exceeded.
  1. Obtains feedback to ensure client needs are being met.
  1. Helps others in responding to client needs.
  1. Is competent in handling difficult clients.

Self Management

Agree Unsure Disagree N/A
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. Consciously controls own negative emotions in order to keep team morale up.
  1. Does not allow own emotions to interfere with the performance of others.
  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.


Agree Unsure Disagree N/A
  1. Treats all people fairly and with respect.
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Contributes to a positive work environment.
  1. Contributes to a positive and fun work environment.
  1. Shows by their actions that they trust in the positive intentions of others.

Supervisory Skills

Agree Unsure Disagree N/A
  1. Motivates and inspires high performance by team members.
  1. Fosters a positive work environment in the department.
  1. Conducts regular performance management sessions.
  1. Promotes teamwork and cooperation within the department.
  1. Fosters an environment that supports open communication.


Agree Unsure Disagree N/A
  1. ...Produce Quality
  1. Effective in performing his/her job.
  1. ...Overall Performance
  1. Works effectively in the department.
  1. Listens and responds to issues and problems

Problem Solving

Agree Unsure Disagree N/A
  1. Actively seeks the root cause of a problem.
  1. Able to balance the needs of different people in a solution to a problem.
  1. Makes judgments based upon relevant information.
  1. Works cooperatively with others to solve problems.
  1. Solves problems using logic and insight.


Agree Unsure Disagree N/A
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Addresses employee behavior problems effectively.
  1. Helps employees to maintain high personal standards.
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Provides clear, motivating, and constructive feedback.

Business Acumen

Agree Unsure Disagree N/A
  1. Describes and summarizes data.
  1. Can effectively interpret and analyze data.
  1. Knows how to use financial information to make an impact on the organization.
  1. Identifies potential regulatory risks and strategies to mitigate them.
  1. Anticipates marketplace opportunities and supports speed to market.

Strategic Insight

Agree Unsure Disagree N/A
  1. Anticipates business cycles and trends and makes adjustments in a timely manner.
  1. Maintains knowledge of current trends in the industry.
  1. Analyzes records and reports to obtain insight into potential issues and trends.
  1. Creates strategies that significantly benefit the Company.
  1. Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.

Organizational Fluency

Agree Unsure Disagree N/A
  1. Understands the current organizational culture.
  1. Effective in communicating with others within the organization.
  1. Able to explain departmental policies and procedures to others.
  1. Gets things done through the department.
  1. Able to deal with sensitive issues with tact and professionalism.

  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.