Managing Performance - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Questionnaires Measuring Managing Performance:
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.

Sample Result Document:
Sample Results
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.

Managing Performance

Definite Strength Meets Standards Needs Development N/A
  1. Informs team members how their performance compares to stated goals.
  1. Establishes indicators to measure levels of performance.
  1. Finds the most efficient way of doing things.
  1. Creates clear standards that are understandable and fair.
  1. Monitors performance on a regular basis.


Definite Strength Meets Standards Needs Development N/A
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
  1. Encourages and empowers others to use initiative in achieving goals and objectives.
  1. Allows employees to decide how they wish to complete the tasks.
  1. Delegates the right tasks to the right people.
  1. Defines the roles, responsibilities, required actions, and deadlines for team members.


Definite Strength Meets Standards Needs Development N/A
  1. Can be counted on to do what they say they are going to do.
  1. Keeps their word and does what they say they will do.
  1. Creates a consistent process for prioritizing work.
  1. Able to effectively limit risk-taking while maintaining optimal performance.
  1. Takes responsibility for results.


Definite Strength Meets Standards Needs Development N/A
  1. Does the right thing even when negative consequence may result.
  1. Maintains strong relationships with others.
  1. Demonstrates a commitment to corporate and personal values.
  1. Does not withhold important information needed by others.
  1. Demonstrates sincerity in actions with others.

Emotional Intelligence

Definite Strength Meets Standards Needs Development N/A
  1. Willing to take a controversial position for what is "right".
  1. Is able to manage their own emotions.
  1. Thinks clearly and stays focused under pressure.
  1. Able to understand others' points of view.
  1. Is attentive to emotional cues and interprets others' feelings correctly.

Time Management

Definite Strength Meets Standards Needs Development N/A
  1. Sets clearly defined goals.
  1. Completes high-priority work within required timelines.
  1. Makes time for developing plans and schedules.
  1. Sets a good balance between work and family life.
  1. Deals effectively with interruptions.

Results Oriented

Definite Strength Meets Standards Needs Development N/A
  1. Stays focused on meeting the needs of customers.
  1. Demonstrates the personal confidence to "stay the course," even when faced with difficulty
  1. Helps others when free-time is available.
  1. Embraces setbacks and challenges as opportunities to learn.
  1. Consistently and effectively communicates departmental goals/objectives


Definite Strength Meets Standards Needs Development N/A
  1. Committed to safety in the workplace.
  1. Works to implement corrective safety measures.
  1. Participates in safety training when available.
  1. Keeps accurate safety records.
  1. Encourages others to work safely.


Definite Strength Meets Standards Needs Development N/A
  1. Works effectively with people from other departments.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Respects the opinions of other employees.
  1. Forms working relationships with employees from other departments.
  1. Helpful

Strategic Insight

Definite Strength Meets Standards Needs Development N/A
  1. Allocates proper resources for employee training to meet future needs.
  1. Formulates policies and strategies for addressing the Company's important challenges.
  1. Implements long-term solutions to problems.
  1. Analyzes unique issues or problems impacting the Company.
  1. Formulates strategies and action plans to ensure successful completion of goals and objectives.

  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.