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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

Sample Result Document:
Sample Results
To what extent does [Participant Name] exhibit the following ...

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


Leadership

What does Leadership mean?
It means that ...
  • You take ownership and accountability for results
  • You lead team to set goals, solve problems, and accomplish tasks.
  • You motivate and challenges employees to attain a shared vision.
  • You are a highly effective supervisor.
  • You demonstrate leadership and courage in critical situations.

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 ...
  • I am able to make decisions quickly.
  • You determine the costs and potential benefits of decisions.
  • You break complex issues into manageable parts and organize them in a systematic way before making decisions
  • I formulate imaginative decisions.
  • You view the long and short-term impact of decisions.

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

Achievement

What does Achievement mean?
It means that ...
  • You schedule time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
  • You successfully complete the orientation training program.
  • You take reasonable risks to achieve desired results.
  • You are able to reduce staff turnover.
  • You make use of talents of others to help achieve a high level of performance.

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 set and clearly communicate expectations, performance goals, and measurements to others
  • You work to identify root causes of performance problems
  • You provide ongoing feedback to co-workers on your development progress
  • You take immediate action on poor performance
  • You give others development opportunities through project assignments and increased job responsibilities

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 keep excellent records for financial transparency.
  • You develop budgets and plans for various programs and initiatives.
  • You provide budgeting and accounting support to the Company.
  • You monitor expenses and verify the need for items purchased.
  • You develop of the department's annual budget.

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


Areas for Development


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