Leadership - 360 Degree Feedback Survey Sample #8

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)

You have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool 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 assessment form, please think about your experiences working with this individual during the last six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .


Agree Unsure Disagree N/A
  1. Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
  1. Highly effective supervisor.
  1. Able to influence others.
  1. Effectively leads others.
  1. Demonstrates leadership and courage in critical situations.

Persuasion and Influence

Agree Unsure Disagree N/A
  1. Attempts to persuade others rather than simply control them.
  1. Ensures stakeholders are involved in the decision making process.
  1. Has excellent influencing/negotiating skills.
  1. Communicates effectively with others.
  1. Develops a good rapport with others.


Agree Unsure Disagree N/A
  1. Encourages others to produce the highest quality work products.
  1. Encourages others to achieve high quality standards.
  1. Reflects on what is working and what could be improved.
  1. Holds employees accountable for their quality of work.
  1. Always strives to produce the highest quality work products.

Change Management

Agree Unsure Disagree N/A
  1. Supports the Company's efforts to implement changes.
  1. Addresses organizational and departmental resistance to changes.
  1. Effective in dealing with ambiguous and challenging situations.
  1. Works cooperatively with others to implement changes.
  1. Assists others in understanding changes to the organization.

Empowering Others

Agree Unsure Disagree N/A
  1. Sets clear goals for others to accomplish.
  1. Encourages others to obtain necessary skills and training.
  1. Distributes the workload to subordinates.
  1. Encourages employees to solve problems on their own.
  1. Avoids micromanaging their employees.


Agree Unsure Disagree N/A
  1. Forges mutually beneficial relationships between individuals with diverse backgrounds.
  1. Supports and encourages relationships that are created by diverse team members.
  1. Maintains infrastructure to support partnerships and networks.
  1. Seeks to reduce institutional roadblocks to information sharing.
  1. Promotes the understanding of how the department affects the organization overall.

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.