Managing Risk - 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Risk 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)

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.

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 .

Managing Risk

Agree Unsure Disagree N/A
  1. Responds appropriately to unexplained or unanticipated events.
  1. Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
  1. Rewards innovative experiments to try new ideas.
  1. Effectively responds to critical situations to reduce potential for losses.
  1. Knows how to obtain desired results with minimal losses.


Agree Unsure Disagree N/A
  1. Takes ownership of mistakes and learns from them.
  1. Defines roles, rights, and responsibilities of employees.
  1. Tackles issues head on and finds solutions.
  1. Defines roles, rights, and responsibilities of the team.
  1. Creates a consistent process for prioritizing work.

Juggling Multiple Responsibilities

Agree Unsure Disagree N/A
  1. Can multi-task while performing all of their other responsibilities and activities.
  1. Plans and organizes continuously while performing all other responsibilities and activities.
  1. Bounces back from daily crisis, disappointments and frustrations.
  1. Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
  1. Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.


Agree Unsure Disagree N/A
  1. Establishes and documents goals and objectives.
  1. Makes sure that I have a clear idea of our group's goals.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Understands & contributes to development of strategic goals.
  1. Achieves established goals.

Commitment To Result

Agree Unsure Disagree N/A
  1. Maintains persistence and dedication to achieving results.
  1. Coordinates all department activities into a cohesive team effort.
  1. Able to focus on a task even when working alone.
  1. Committed to the team.
  1. Creates a sense of urgency among the store team members to complete activities, which drive sales.

Interpersonal Skills

Agree Unsure Disagree N/A
  1. Is a role model for others
  1. Provides constructive feedback in a way that fosters acceptance and development.
  1. Creates an atmosphere that supports the open expression of ideas
  1. Anticipates the concerns of other employees.
  1. Demonstrates willingness to work with others.


Agree Unsure Disagree N/A
  1. Holds herself / himself accountable to goals / objectives
  1. ...takes personal responsibility for results.
  1. Sets high personal standards of performance.
  1. Completes assigned work tasks.
  1. Behavior is ethical and honest.


Agree Unsure Disagree N/A
  1. Helps employees to maintain high personal standards.
  1. Develops the skills and capabilities of others.
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Conducts regular performance appraisals and feedback.
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.

Cultural Awareness

Agree Unsure Disagree N/A
  1. Recognizes and values individual and cultural differences.
  1. Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
  1. Shows respect in daily interactions
  1. Seeks out different viewpoints and benefits from different perspectives.
  1. Fosters a diverse workforce free from discrimination and harassment.


Agree Unsure Disagree N/A
  1. Forms working relationships with employees from other departments.
  1. Helpful
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Constructively receives criticism and suggestions from others.
  1. Respects the opinions of other employees.

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.