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Leadership - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Leadership:
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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Self-Assessment Instructions

You have been asked to complete a self-assessment questionnaire form (shown below). You will also receive feedback from others such as your peers, direct reports and manager. Feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences as an employee over the last twelve months and the goals you were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will become part of the assessment process to foster your growth and on-going development.

Competencies Included:
Leadership, Delegation, Decision Making, Collaboration, Conflict Management, Business Acumen, Organizational Fluency, Vision
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.

Please ensure that your submission is made between . The survey will only be available during these dates.
Edit this Survey
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Leadership

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You gather and analyze data and develops rationale for decision.
  1. You set a positive example for others to follow.
  1. You help employees set clear action steps to improve performance.
  1. I challenge senior leadership respectfully when their decisions conflict with core values or long-term goals.
  1. You seek input and ideas from employees by involving them in decisions.
What are your suggestions for how you can make improvements
in Leadership?

Delegation

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You use delegation to empower employees to take initiative and make decisions.
  1. You let employees know the importance of the tasks being delegated to them.
  1. You ensure the task align with business goals and team capabilities.
  1. You delegate work to employees that resonates with their interests and strengths.
  1. You effectively balance delegation and supervision of employees.
What are your suggestions for how you can make improvements
in Delegation?

Decision Making

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I am receptive to new ideas from others when making decisions.
  1. I make clear what is in scope and out of scope to avoid misalignment or unrealistic expectations.
  1. You make decisions based on facts rather than gut feelings.
  1. I facilitate meetings with others to try to consider alternative courses of action.
  1. My decision making involves careful analysis of the facts and consideration of parameters and constraints.
What are your suggestions for how you can make improvements
in Decision Making?

Collaboration

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You encourage teammates to settle their differences and work together.
  1. I ensure all team members understand the goals.
  1. You encourage trust among committee members.
  1. You encourage working together to achieve shared goals.
  1. You gain the cooperation of others to accomplish common goals and objectives.
What are your suggestions for how you can make improvements
in Collaboration?

Conflict Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I ensure that both parties work toward finding compromise.
  1. I seek to maintain positive relationships with coworkers.
  1. You settle disputes with agreement from both parties.
  1. You transform conflicts into learning moments, helping individuals see tension as a catalyst for growth.
  1. I use logic and reasoning to determine the best course of action for resolve the conflict.
What are your suggestions for how you can make improvements
in Conflict Management?

Business Acumen

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You understand the financial metrics used by the company.
  1. You anticipate marketplace opportunities and supports speed to market.
  1. You coach others to foster an environment which can adapt quickly and willingly to rapid change
  1. You ask the 'right' questions to size up or evaluate situations.
  1. You periodically assess the current market environment.
What are your suggestions for how you can make improvements
in Business Acumen?

Organizational Fluency

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You anticipate problems that may affect the department.
  1. You are able to explain departmental policies and procedures to others.
  1. You are aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. You are able to use corporate politics to advance department objectives.
  1. You get things done through the department.
What are your suggestions for how you can make improvements
in Organizational Fluency?

Vision

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You are able to shape norms, values, and employee behaviors into a culture that align with the organization's strategic vision and direction.
  1. You can formulate and implement the organization's vision.
  1. I encourage employees to prioritize activities that contribute to the vision.
  1. You craft strategic plans that embody the organization's shared vision.
  1. I committed to turning the strategic vision into reality by meticulously planning, coordinating, and overseeing the implementation of an action plan.
What are your suggestions for how you can make improvements
in Vision?


  1. Strengths


  2. Areas for Development


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.