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)
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.


Leadership

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You express clear goals and objectives.
  1. You are more likely to recognize employees for good performance rather than to criticize them for a performance problem
  1. You influence department
  1. You consistently follow the commitments to communication in dealing with others
  1. You are able to organize the work of others.
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 encourage and empower subordinates to use initiative in achieving goals and objectives.
  1. You assign tasks to subordinates for completion.
  1. You set clear and reasonable expectations for others and follow through on their progress.
  1. You allow employees to decide how they wish to complete the tasks.
  1. You ensure delegated tasks are completed on time.
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. You are open to the suggestions from subordinates.
  1. I define what constraints must be met for the decision making process.
  1. You remain focused on the immediate goal when making decisions.
  1. You take into account the impact decisions will have on others.
  1. You coach team members individually when "poor" decisions are made and helps them see what could have been done differently
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. I use effective strategies to re-engage team members and secure their commitment to the business's common good.
  1. You encourage collaboration of fellow employees to achieve results.
  1. I strengthen relationships with suppliers to improve contract and price negotiation terms.
  1. You work with others to share knowledge and information.
  1. You place value on the views of others in decision making.
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 address contentious issues earlier rather than later.
  1. You help align team members toward a common goal.
  1. You facilitate constructive dialog with stakeholders.
  1. You get both sides to agree on a common framework.
  1. You prepare team members to accept differing view points.
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 interpret data to make informed business decisions.
  1. Understands business fundamentals and practices.
  1. You are able to align resources to meet the business needs of the company.
  1. I establish clear, long-term objectives that align with the company's vision and mission.
  1. You identify new business opportunities.
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 are aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. You get things done through the department.
  1. You are effective in communicating with others within the organization.
  1. You are able to use corporate politics to advance department objectives.
  1. You anticipate problems that may affect 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 diagnose issues and problems and to create a vision for their solutions.
  1. You bring the strategic vision to fruition by planning, coordinating, and executing necessary actions, while ensuring the team meets the overarching goals of the organization.
  1. You lead with a growth-oriented mindset, driving innovation and expansion.
  1. You create and execute a strategic vision that propels the department forward.
  1. You clearly articulate a vision for your work and inspires others to support it
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.