Strategic Insight- 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Assessments Measuring Strategic Insight:
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.

Strategic Insight

Definite Strength Meets Standards Needs Development N/A
  1. Formulates strategies and action plans to ensure successful completion of goals and objectives.
  1. Analyzes records and reports to obtain insight into potential issues and trends.
  1. Communicates vision for the department and company.
  1. Analyzes unique issues or problems impacting the Company.
  1. Identifies potential problems before they become critical incidents.

Client Focus

Definite Strength Meets Standards Needs Development N/A
  1. Obtains feedback to ensure client needs are being met.
  1. Ensures client commitments and requirements are met or exceeded
  1. Is pro-active in dealing with clients and addressing their needs.
  1. Looks for opportunities that have a positive impact on Clients.
  1. Satisfies client needs.

Customer Focus

Definite Strength Meets Standards Needs Development N/A
  1. Ensures all customer commitments and requirements are met or exceeded.
  1. Consistently models positive customer service attitudes.
  1. Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
  1. Does not hesitate to address customer concerns or complaints.
  1. Develops good rapport and trust with the customer.


Definite Strength Meets Standards Needs Development N/A
  1. Actively seeks feedback from others.
  1. Is easy to approach with ideas and opinions.
  1. Shares past experiences with others as learning opportunities.
  1. Is visible and approachable.
  1. Accepts the views of others.


Definite Strength Meets Standards Needs Development N/A
  1. Makes you feel enthusiastic about your work
  1. Keep staff informed about what is happening in the company
  1. Is ready to offer help
  1. Takes responsibility for things that go wrong
  1. Sets an example for others to follow

Persuasion and Influence

Definite Strength Meets Standards Needs Development N/A
  1. Seeks to obtain consensus or compromise.
  1. Able to express own goals and needs.
  1. Ensures stakeholders are involved in the decision making process.
  1. Communicates effectively with others.
  1. Has excellent influencing/negotiating skills.

Decision Making

Definite Strength Meets Standards Needs Development N/A
  1. Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
  1. Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
  1. Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
  1. Seeks input from key people who should be involved in, or will be affected by, decisions
  1. Exercises good judgment by making sound and informed decisions.


Definite Strength Meets Standards Needs Development N/A
  1. Implements best practices within the department.
  1. Creates a safe environment for idea-sharing.
  1. Builds upon the ideas and solutions of others.
  1. Searches for opportunities and innovative ways to improve the organization.
  1. Encourages open communication to ensure that all proposals are considered.

Juggling Multiple Responsibilities

Definite Strength Meets Standards Needs Development N/A
  1. Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
  1. Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  1. Builds in extra time in the schedule for unplanned events/occurrences.
  1. Prioritizes tasks for efficiency.
  1. Switches attention to more urgent tasks when necessary.

Interpersonal Skills

Definite Strength Meets Standards Needs Development N/A
  1. Is open and approachable
  1. Effectively manages conflicts by dealing with them directly and immediately
  1. Comes across as credible, knowledgeable and sincere
  1. Successfully resolves conflicts and grievances to a win-win solution.
  1. Builds a strong rapport with co-workers.

  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.