Strategic Focus- 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Strategic Focus:
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)
Self-Assessment Instructions

You have been selected to complete a self-assessment questionnaire as part of a 360-degree feedback assessment. 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.

Respond to the assessment form based on your work experiences during the previous 12 months. Your responses will be merged with other people's feedback and presented to you in your on-going development. Comments from others will be shared anonymously, as written.

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 .

Strategic Focus

Agree Unsure Disagree N/A
  1. You create plans to develop and promote organizational and area strengths, as well as to address weaknesses.
  1. You understand your role within the organization.
  1. You understand and contribute to development of strategic goals.
  1. You sustain or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
  1. You communicate goals and objectives to employees.

Bias for Action

Agree Unsure Disagree N/A
  1. You project a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
  1. You identify ways to simplify work processes and reduce cycle times
  1. You encourage risk taking and experimentation to improve performance
  1. You coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. You complete work on time

Professional Development

Agree Unsure Disagree N/A
  1. You encourage employees to take courses relevant to their job.
  1. You allow employees to fully participate in employee training and professional development.
  1. You demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. You keep yourself up-to-date of technical/professional issues
  1. You seek opportunities for continuous learning.

Establishing Focus/Direction

Agree Unsure Disagree N/A
  1. You align the department's goals with the goals of the organization.
  1. You help guide employees with prioritizing tasks.
  1. You make sure that employees understand and identify with the team's mission.
  1. You stay focused even when under pressure and stress.
  1. You function well under stress, deadlines, and/or significant workloads.

Supervisory Skills

Agree Unsure Disagree N/A
  1. I value the opinions of subordinates.
  1. You foster a positive work environment in the department.
  1. I communicate effectively with employees.
  1. You complete assessments in a timely manner.
  1. I am successful in resolving personnel conflicts.

Commitment To Result

Agree Unsure Disagree N/A
  1. You take immediate action toward goals.
  1. You coordinate all department activities into a cohesive team effort.
  1. You are willing to do whatever it takes-not afraid to have to put in extra effort.
  1. You maintain persistence and dedication to achieving results.
  1. You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.


Agree Unsure Disagree N/A
  1. You mitigate hazards and safety issues that arise.
  1. You develop safety guidelines for the department.
  1. You work to implement corrective safety measures.
  1. You keep accurate safety records.
  1. You support safety programs and procedures.

Co-worker Development

Agree Unsure Disagree N/A
  1. You set and clearly communicate expectations, performance goals, and measurements to others
  1. You adapt coaching and mentoring approach to meet the style or needs of individuals
  1. You work to identify root causes of performance problems
  1. You give others development opportunities through project assignments and increased job responsibilities
  1. You provide ongoing feedback to co-workers on your development progress


Agree Unsure Disagree N/A
  1. You seek to reduce institutional roadblocks to information sharing.
  1. You create the conditions for partnerships to grow and develop.
  1. You seek an understanding of diverse functions within the Company.
  1. You capitalize on partnerships and networks to enhance the Company's bottom line.
  1. You support and encourage relationships that are created by diverse team members.


Agree Unsure Disagree N/A
  1. You understand the processes and various stages of business development.
  1. You take the initiative to complete tasks.
  1. You seek and utilize mentors to help guide your professional development.
  1. You balance risks and rewards when making decisions.
  1. You exhibit determination and passion in completion of goals.

  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.