Initiative - 360 Degree Feedback Survey Sample #9

Questionnaires Measuring Initiative:
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)

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.

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Definite Strength Meets Standards Needs Development N/A
  1. Takes the initiative to change the direction or course of events.
  1. Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
  1. Seeks and utilizes opportunities for continuous learning and self-development.
  1. Prepares for unexpected contingencies.
  1. Takes action without being asked.

Change Management

Definite Strength Meets Standards Needs Development N/A
  1. Works cooperatively with others to implement changes.
  1. Supports new initiatives for organizational changes to improve effectiveness.
  1. Effective in dealing with ambiguous and challenging situations.
  1. Adopts changes to set and example for others to follow.
  1. Effective in implementing new organizational vision and values.

Commitment To Result

Definite Strength Meets Standards Needs Development N/A
  1. Able to focus on a task even when working alone.
  1. Willing to do whatever it takes-not afraid to have to put in extra effort.
  1. Coordinates all department activities into a cohesive team effort.
  1. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  1. Encourages commitment in others to obtain results.

Self Management

Definite Strength Meets Standards Needs Development N/A
  1. Does not allow own emotions to interfere with the performance of others.
  1. Consciously controls own negative emotions in order to keep team morale up.
  1. Uses patience and self-control in working with customers and associates.
  1. Analyzes interpersonal problems instead of reacting to them.
  1. Steps away from a situation to process appropriate response.

Continual Learning

Definite Strength Meets Standards Needs Development N/A
  1. Sets relevant learning objectives and goals.
  1. Pursues self-improvement through continual learning.
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Builds on their strengths while addressing their weaknesses.
  1. Shares best practices with others and learns from others.

Establishing Focus/Direction

Definite Strength Meets Standards Needs Development N/A
  1. Makes sure that employees understand how their work relates to organizational goals.
  1. Excellent at managing time.
  1. Maintains focus when handling several problems or tasks simultaneously.
  1. Functions well under stress, deadlines, and/or significant workloads.
  1. Stays focused even when under pressure and stress.

Project Management

Definite Strength Meets Standards Needs Development N/A
  1. Organizes, plans, and directs resources to accomplish the goals and objectives.
  1. Develops action items, workplans, timelines, and criteria for projects.
  1. Anticipates potential problems and institutes controls and contingency plans to address them.
  1. Works with customers and clients to assess their needs and define project parameters.
  1. Maintains costs and expenses within budget limits.


Definite Strength Meets Standards Needs Development N/A
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Tells subordinates what to do, not how to do it.
  1. Allows subordinates to use their own methods and procedures.
  1. Defines the roles, responsibilities, required actions, and deadlines for team members.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.


Definite Strength Meets Standards Needs Development N/A
  1. Commits adequate resources toward safety measures.
  1. Is aware of OSHA safety guidelines.
  1. Ensures compliance with safety regulations.
  1. Identifies and addresses safety needs.
  1. Participates in safety training when available.

Empowering Others

Definite Strength Meets Standards Needs Development N/A
  1. Encourages employees to solve problems on their own.
  1. Encourages others to obtain necessary skills and training.
  1. Sets clear goals for others to accomplish.
  1. Distributes the workload to subordinates.
  1. Provides support and resources needed to accomplish goals.


Definite Strength Meets Standards Needs Development N/A
  1. Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
  1. Is able to decline bad ideas to avoid making poor decisions.
  1. Able to say "no" when it is essential to maintaining quality and high standards.
  1. Influences others through rational argument and persuasion.
  1. Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.


Definite Strength Meets Standards Needs Development N/A
  1. Demonstrates consistency between words and actions
  1. Expresses the Company vision in a way that is easily understood and adopted by employees.
  1. Develops action plans to align his/her work with the goals of the organization
  1. Creates a common vision for others.
  1. Works to support the strategy of [Company]

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.