Management - 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Management:
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)

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.

Sample Result Document:
Sample Results
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. Delegate tasks effectively
  1. Makes you feel enthusiastic about your work
  1. Sets an example for others to follow
  1. Keep staff informed about what is happening in the company
  1. Takes responsibility for things that go wrong


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


Agree Unsure Disagree N/A
  1. Asks others for their ideas and opinions.
  1. Is easy to approach with ideas and opinions.
  1. Is visible and approachable.
  1. Seeks feedback to enhance performance.
  1. Shares past experiences with others as learning opportunities.


Agree Unsure Disagree N/A
  1. Contributes to a positive and fun work environment.
  1. Is gracious and professional in their interactions with others.
  1. Treats all people fairly and with respect.
  1. Visibly supports and encourages diversity in style and background.
  1. Works to eliminate unnecessary work or barriers that get in others' way.

Cultural Awareness

Agree Unsure Disagree N/A
  1. Treats others with dignity and respect.
  1. Shows respect in daily interactions
  1. Values the opinions of diverse groups and individual.
  1. Respects others regardless of age, race, gender, nationality, or disability.
  1. Recognizes and values individual and cultural differences.

Results Oriented

Agree Unsure Disagree N/A
  1. Provides clear expectations for employees.
  1. Works toward achievement of goals even when confronted with obstacles.
  1. Inspires and motivates co-workers to be productive and energetic at work
  1. Helps others when free-time is available.
  1. Stays focused on meeting the needs of customers.


Agree Unsure Disagree N/A
  1. Is clear about the roles and duties of team members.
  1. Clearly explains the vision and goals of the company.
  1. Clearly explains responsibilities to individuals.
  1. Is clear about goals that need to be achieved.
  1. Adjusts communication methods to the needs of the audience.

Customer Focus

Agree Unsure Disagree N/A
  1. Develops good rapport and trust with the customer.
  1. Develops strong customer relationships.
  1. Maintains positive customer relationships.
  1. Consistently models positive customer service attitudes.
  1. ...friendliness and courtesy


Agree Unsure Disagree N/A
  1. Makes people around them feel appreciated and valued.
  1. Lets employees know when they have done well
  1. Finds opportunities to recognize others.
  1. Offers recognition in a timely manner.
  1. Recognizes team members who offer a significant contribution to a project.

Business Acumen

Agree Unsure Disagree N/A
  1. Understands complex issues and problems.
  1. Exhibits behavior that is consistent with the vision, mission, and core values of the organization
  1. Asks the 'right' questions to size up or evaluate situations.
  1. Applies the knowledge of work processes to influence the achievement of business goals
  1. Able to align resources to meet the business needs of the company.

Fiscal Management

Agree Unsure Disagree N/A
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Effective in using Company's resources.
  1. Monitors spending.
  1. Keeps excellent records for financial transparency.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.


Agree Unsure Disagree N/A
  1. Develops action plans to align his/her work with the goals of the organization
  1. Clearly articulates a vision for his/her work and inspires others to support it
  1. Creates a positive vision of the future for the Company.
  1. Behaves in a way that is consistent with business values & code of conduct
  1. Persuades others to follow the Company's vision.

  1. Overall, please rate the effectiveness of [Participant Name Here].

  2. Strengths

  3. Areas for Development

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