Leadership - 360 Degree Feedback Survey Sample #11

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


What does Leadership mean?
It means that ...
  • You clearly explain performance expectations and goals to be reached at the beginning of a project, then let others decide how to achieve the goal.
  • You demonstrate leadership and courage in critical situations.
  • You effectively lead others.
  • You take ownership and accountability for results
  • You are able to influence others.

To what extent does this person exhibit Leadership?
Select from one of the ratings below.

Decision Making

What does Decision Making mean?
It means that ...
  • You assess the risks, benefits, and potential impact of a number of options when deciding a course of action
  • You are able to make decisions quickly.
  • You break complex issues into manageable parts and organize them in a systematic way before making decisions
  • You coach team members individually when "poor" decisions are made and helps them see what could have been done differently
  • You exercise good judgment by making sound and informed decisions.

To what extent does this person exhibit Decision Making?
Select from one of the ratings below.


What does Achievement mean?
It means that ...
  • You accept setbacks and challenges as improvement opportunities
  • You systematically work to improve the organization
  • You set high standards in your performance
  • You demonstrate a well-organized and timely approach to achieve desired results
  • You complete work to given time frame and to budget

To what extent does this person exhibit Achievement?
Select from one of the ratings below.

Co-worker Development

What does Co-worker Development mean?
It means that ...
  • You work to identify root causes of performance problems
  • You adapt coaching and mentoring approach to meet the style or needs of individuals
  • You take immediate action on poor performance
  • You set and clearly communicate expectations, performance goals, and measurements to others
  • You provide ongoing feedback to co-workers on your development progress

To what extent does this person exhibit Co-worker Development?
Select from one of the ratings below.

Fiscal Management

What does Fiscal Management mean?
It means that ...
  • You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.
  • You ensure others follow the correct rules and regulations on fiscal matters.
  • You develop budgets and plans for various programs and initiatives.
  • You monitor spending.
  • You provide budgeting and accounting support to the Company.

To what extent does this person exhibit Fiscal Management?
Select from one of the ratings below.

Areas for Development

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