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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 focus team efforts on meeting the needs of the customers.
  1. You are accessible and approachable to associates.
  1. You set clear goals and objectives for subordinates.
  1. You actively listen for feedback from subordinates.
  1. You influence the decisions made at the Company.
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 delegate tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. You are aware of the resources needed to complete tasks.
  1. You allow subordinates to use their own methods and procedures.
  1. You select appropriate individuals to complete tasks.
  1. You assign tasks to create learning opportunities for the 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 able to learn from my mistakes.
  1. I view issues from multiple perspectives before making a decision.
  1. You are confident in the decisions you make.
  1. I identify the parameters impacting the decision.
  1. I perform a cost/benefit analysis before making a decision.
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 respect other group/team members.
  1. You actively engage with team members to foster a cooperative environment.
  1. You works to get buy-in of individuals based on common good of business.
  1. You create an environment to support free exchange of information.
  1. You share insights, innovations, and resources to enhance efficiency.
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 identify the root sources of conflict.
  1. You determine what issues can be agreed upon.
  1. You explain rules for engagement.
  1. You are able to persuade and influence others.
  1. You try to understand others' point of view before making judgments
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. I recognize the individual needs of customers.
  1. I have an understanding of various asset classes and how to interpret balance sheets.
  1. I consider environmental, social, and governance (ESG) factors to ensure the business is sustainable in the long run.
  1. I engage in strategic alliances with valued partners.
  1. You develop strategic plans to promote business and organizational strengths.
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 effective in communicating with others within the organization.
  1. You are able to explain departmental policies and procedures to others.
  1. You are able to deal with sensitive issues with tact and professionalism.
  1. You are adept at navigating within the culture of the department.
  1. You are able to use corporate politics to advance department objectives.
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 detect problems and create solutions.
  1. I identify emerging trends and anticipate future market shifts.
  1. I effectively communicate the vision to employees.
  1. You create a vision that adds value to the organization.
  1. You create a workplace culture that reflects the organizational vision.
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.