Leadership - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

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)

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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.


  • 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.
  • Recognizes individual and team accomplishments and reward them appropriately.
  • Motivates and challenges employees to attain a shared vision.
  • Expresses clear goals and objectives.
  • Sets clear goals and objectives for subordinates.
If [Participant Name] were to make improvements in Leadership, what are your suggestions for how he/she can improve this?

Establishing Focus/Direction

  • Helps guide employees with prioritizing tasks.
  • Makes sure that employees understand and identify with the team's mission.
  • Maintains self-control when personally criticized.
  • Aligns the department's goals with the goals of the organization.
  • Sets appropriate goals for employees.
If [Participant Name] were to make improvements in Establishing Focus/Direction, what are your suggestions for how he/she can improve this?

Project Management

  • Anticipates potential problems and institutes controls and contingency plans to address them.
  • Works with customers and clients to assess their needs and define project parameters.
  • Organizes work and sets priorities as needed.
  • Organizes, plans, and directs resources to accomplish the goals and objectives.
  • Develops action items, workplans, timelines, and criteria for projects.
If [Participant Name] were to make improvements in Project Management, what are your suggestions for how he/she can improve this?


  • Encourages me to take on greater responsibility.
  • Establishes goals and objectives.
  • Assures [Company] principles are understood, employed & pursued.
  • Ability to establish realistic goals.
  • Works toward achieving established goals and objectives.
If [Participant Name] were to make improvements in Objectives, what are your suggestions for how he/she can improve this?

Strategic Insight

  • Formulates policies and strategies for addressing the Company's important challenges.
  • Formulates strategies and action plans to ensure successful completion of goals and objectives.
  • Creates strategies that significantly benefit the Company.
  • Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
  • Implements long-term solutions to problems.
If [Participant Name] were to make improvements in Strategic Insight, what are your suggestions for how he/she can improve this?
Overall, please rate the effectiveness of [Participant Name Here].


Areas for Development

Please give any final comments or suggestions for [Participant Name Here]'s assessment.