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.


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

Juggling Multiple Responsibilities

  • Bounces back from daily crisis, disappointments and frustrations.
  • Can multi-task while performing all of their other responsibilities and activities.
  • Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
  • Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  • Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?


  • Drives and mobilizes others progress toward goals.
  • Makes effective decisions, even when under pressure.
  • Is not afraid to take corrective action when necessary.
  • Motivates & supports others to gain skills
  • Works quickly when faced with difficult problems.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?


  • Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  • Demonstrates mastery of the technical competencies required in his/her work.
  • Seeks information from others as needed.
  • Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
  • Willingly shares his/her technical expertise; sought out as resource by others
If [Participant Name] were to make improvements in Technical, what are your suggestions for how he/she can improve this?


  • Recognizes the abilities and skills of self and others
  • Reinforces and rewards employees for accomplishing necessary goals.
  • Is sincerely interested in the suggestions of co-workers
  • Makes people around them feel appreciated and valued.
  • Compliments other people when they do good work
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.