Objectives - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Questionnaires Measuring Objectives:
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.


Definite Strength Meets Standards Needs Development N/A
  1. Establishes goals and objectives.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Communicates goals and objectives to employees.
  1. Effectively organizes resources and plans
  1. Consistently provides me with timely feedback for improving my performance.

Continual Improvement

Definite Strength Meets Standards Needs Development N/A
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Looks for ways to expand current job responsibilities.
  1. Looks for ways to expand and learn new job skills.
  1. Promotes training and development opportunities to enhance job performance.
  1. Open to the suggestions from others.


Definite Strength Meets Standards Needs Development N/A
  1. Avoids making personal phone calls during working hours.
  1. Responds to requests for information in a timely manner.
  1. Invoices clients on a timely basis.
  1. Maintains an efficient schedule of activities.
  1. Conducts appointments at scheduled start time.

Establishing Focus/Direction

Definite Strength Meets Standards Needs Development N/A
  1. Stays focused even when under pressure and stress.
  1. Aligns the department's goals with the goals of the organization.
  1. Helps guide employees with prioritizing tasks.
  1. Makes sure that employees understand how their work relates to organizational goals.
  1. Makes sure that employees understand and identify with the team's mission.


Definite Strength Meets Standards Needs Development N/A
  1. Entrusts subordinates with important tasks.
  1. Allows subordinates to use their own methods and procedures.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Tells subordinates what to do, not how to do it.
  1. Defines goals and objectives for subordinates.

Managing Risk

Definite Strength Meets Standards Needs Development N/A
  1. Aware of appropriate actions to minimize risks.
  1. Develops appropriate strategies to minimize risks.
  1. Perceives the risks of different work tasks and activities.
  1. Effectively responds to critical situations to reduce potential for losses.
  1. Accurately perceives potential risks in the workplace and initiates preventative measures.


Definite Strength Meets Standards Needs Development N/A
  1. Understands the applicable regulations and laws that impact our business.
  1. Maintains historical records and documents as needed/required.
  1. Performs regular compliance audits.
  1. Works quickly to implement changes in regulations.
  1. Complies with trade agreements affecting international companies.


Definite Strength Meets Standards Needs Development N/A
  1. Encourages others to share ideas to develop team cohesion
  1. Coaches team members to work toward a common goal.
  1. Is open to new ideas that may change own goals for benefit of the team
  1. Carries his/her share of the workload
  1. Encourages collaboration with other departments.

Organizational Fluency

Definite Strength Meets Standards Needs Development N/A
  1. Adept at navigating within the culture of the department.
  1. Gets things done through the department.
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Anticipates problems that may affect the department.


Definite Strength Meets Standards Needs Development N/A
  1. Works to support the strategy of [Company]
  1. Clearly articulates a vision for his/her work and inspires others to support it
  1. Behaves in a way that is consistent with business values & code of conduct
  1. Communicates a vision of where the Company needs to be in the future.
  1. Understands the vision of the Company and promotes it ahead of any self-interests.

  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.