Management - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

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)

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.


  • Makes you feel enthusiastic about your work
  • Takes responsibility for things that go wrong
  • Keep staff informed about what is happening in the company
  • Is ready to offer help
  • Delegate tasks effectively
If [Participant Name] were to make improvements in Management, what are your suggestions for how he/she can improve this?

Juggling Multiple Responsibilities

  • Can multitask while performing all of their other responsibilities and activities.
  • Uses a scheduler/planner to keep tasks organized and on time.
  • Completes multiple tasks simultaneously.
  • Determines which tasks are critical and which tasks are optional.
  • Coordinates the work of a team by assigning tasks to other team members.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?


  • Works quickly when faced with difficult problems.
  • Does whatever it takes (within reason) to get the job done.
  • Drives and mobilizes others progress toward goals.
  • Effectively makes decisions
  • Makes effective decisions, even when under pressure.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?


  • Is knowledgeable of procedures or systems necessary for the job.
  • Willingly shares information and expertise; sought out as resource by others
  • Knows how to produce high quality products/work.
  • Seeks information from others as needed.
  • Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
If [Participant Name] were to make improvements in Technical, what are your suggestions for how he/she can improve this?


  • Reinforces and rewards employees for accomplishing necessary goals.
  • Recognizes individuals for a specific outstanding achievement.
  • Recognizes the abilities and skills of self and others
  • Finds opportunities to recognize others.
  • Makes people around them feel appreciated and valued.
If [Participant Name] were to make improvements in Recognition, 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.