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 take ownership and accountability for results
  1. You demonstrate leadership and courage in critical situations.
  1. You influence department
  1. You are able to increase the performance of under-performing employees.
  1. You appear to trust own instincts and insights.
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 ensure delegated tasks are completed on time.
  1. You set clear and reasonable expectations for others and follow through on their progress.
  1. You delegate tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. You select appropriate individuals to complete tasks.
  1. You communicate expected/desired outcomes.
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 willing to change your strategy if new information arises.
  1. You take into account the impact decisions will have on others.
  1. You weigh the pros and cons of decisions.
  1. I examine for patterns in data to help predict future possibilities.
  1. I carefully evaluate information before making an important 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 use group decision making.
  1. You encourage a diversity of opinions and ideas.
  1. You effectively work with others to create solutions to problems.
  1. You create an environment where others feel comfortable sharing knowledge and information.
  1. You provide training and support for relationship building in the team.
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. You deal effectively with employee grievances.
  1. You assist team members by helping them see the other point of view.
  1. You discuss conflict situations with supervisor.
  1. You identify and takes steps to prevent potential confrontations.
  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. You consider impact of actions on other areas of the organization.
  1. I know how to use financial information to make an impact on the organization.
  1. I understand consumer behaviors and how they may change in the future.
  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 are effective in communicating with others within the organization.
  1. You get things done through the department.
  1. You are adept at navigating within the culture of the department.
  1. You are able to explain departmental policies and procedures to others.
  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 understand the vision of the Company and promote it ahead of any self-interests.
  1. You communicate a vision of where the Company needs to be in the future.
  1. You develop action plans to align your work with the goals of the organization
  1. You create a positive vision of the future for the Company.
  1. You work to support the strategy of [Company]
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.