Conflict Management- 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Conflict 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. Stays calm and focuses on the core issues to be discussed.
  1. Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
  1. Researches the needs of the other party to identify strengths and weaknesses of positions.
  1. Changes communication styles to meet the listener's needs.
  1. Able to adapt to changing situations.


Agree Unsure Disagree N/A
  1. Does whatever it takes (within reason) to get the job done.
  1. Works quickly when faced with difficult problems.
  1. Effectively makes decisions
  1. Drives and mobilizes others progress toward goals.
  1. Motivates & supports others to gain skills

Persuasion and Influence

Agree Unsure Disagree N/A
  1. Develops a good rapport with others.
  1. Able to express own goals and needs.
  1. Ensures stakeholders are involved in the decision making process.
  1. Understanding what others need.
  1. Has excellent influencing/negotiating skills.

Decision Making

Agree Unsure Disagree N/A
  1. Does not lose sight of the big picture when making decisions
  1. Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
  1. Asks for additional information when making critical decisions.
  1. Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
  1. Seeks input from key people who should be involved in, or will be affected by, decisions


Agree Unsure Disagree N/A
  1. Takes action without being asked.
  1. Immediately works to complete goals well before their deadline.
  1. Seeks and utilizes opportunities for continuous learning and self-development.
  1. Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.

Juggling Multiple Responsibilities

Agree Unsure Disagree N/A
  1. Uses a scheduler/planner to keep tasks organized and on time.
  1. Coordinates the work of a team by assigning tasks to other team members.
  1. Assigns tasks based on skills of team members.
  1. Is aware of the deadlines for specific tasks/assignments.
  1. Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.


Agree Unsure Disagree N/A
  1. Ability to establish realistic goals.
  1. Organizes and schedules events, activities, and resources.
  1. Sets long-term and short-term goals.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Works toward achieving established goals and objectives.


Agree Unsure Disagree N/A
  1. Develops a strong safety culture.
  1. Mitigates hazards and safety issues that arise.
  1. Points out behaviors in others that may be unsafe.
  1. Identifies and addresses safety needs.
  1. Is not afraid to question a potential safety issue observed in the workplace.

Developing Others

Agree Unsure Disagree N/A
  1. Creates a work environment that fosters positive feedback to employees.
  1. Develops employees by offering and encouraging them to take on new or additional responsibilities.
  1. Tries to ensure employees are ready to move to the next level.
  1. Supports the successes of other employees.
  1. Recognizes and celebrates accomplishments of others.


Agree Unsure Disagree N/A
  1. Provides assistance and support to other team members when needed
  1. Fosters respect and understanding among team members
  1. Coaches team members
  1. Fosters teamwork rather than individual competition
  1. Communicates well with team members.

  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.