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.

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 give direct, constructive, and actionable feedback.
  1. You are a highly effective supervisor.
  1. You focus team efforts on meeting the needs of the customers.
  1. You seek input and ideas from employees by involving them in decisions.
  1. You provide challenging assignments to employees.
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 communicate expectations for assigned tasks.
  1. You delegate tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. You assign goals and objectives as needed.
  1. You select appropriate individuals to complete tasks.
  1. You define the roles, responsibilities, required actions, and deadlines for team members.
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 gather information before making a decision.
  1. You are willing to change your strategy if new information arises.
  1. You are open to the suggestions from subordinates.
  1. You break complex issues into manageable parts and organize them in a systematic way before making decisions
  1. You determine the constraints that may impact what decisions are acceptable.
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 am respectful of others in group discussions.
  1. You are willing to work with others to solve problems.
  1. You create a culture that fosters and values collaboration.
  1. You reward collaborative efforts of team members.
  1. I model collaborative behavior through leading by example.
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 seek to achieve mutually acceptable outcomes.
  1. You facilitate dialog between stakeholders.
  1. I avoid conflicts over minor issues.
  1. I listen to individuals as they offer their unique perspectives on the situation.
  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 gather essential customer data to align our products with their expectations.
  1. You have a good understanding of liabilities and assets.
  1. You coach others to foster an environment which can adapt quickly and willingly to rapid change
  1. You understand impacts of domestic & global market events & issues.
  1. You anticipate marketplace opportunities and supports speed to market.
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 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 deal with sensitive issues with tact and professionalism.
  1. You understand departmental policies and procedures.
  1. You are adept at navigating within the culture of 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. I am skilled at identifying problems and envisioning effective solutions.
  1. I create a timeline to fulfill the organization's vision.
  1. You lead employees in new directions.
  1. I develop strategies that align with the organization's collective vision.
  1. You craft strategic plans that embody the organization's shared 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.