Strategic Insight- 360 Degree Feedback Survey Sample #10

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.

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

  • Formulates policies and strategies for addressing the Company's important challenges.
  • Communicates vision for the department and company.
  • Implements long-term solutions to problems.
  • Formulates strategies and action plans to ensure successful completion of goals and objectives.
  • Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
If [Participant Name] were to make improvements in Strategic Insight, what are your suggestions for how he/she can improve this?


  • Allows employees to decide how they wish to complete the tasks.
  • Allows subordinates to use their own methods and procedures.
  • Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  • Entrusts subordinates with important tasks.
  • Sets clear and reasonable expectations for others and follows through on their progress.
If [Participant Name] were to make improvements in Delegation, what are your suggestions for how he/she can improve this?


  • Always strives to produce the highest quality work products.
  • Holds employees accountable for their quality of work.
  • Corrects issues in a timely manner.
  • Analyze what occurred and re-adjusts accordingly when goals are not met.
  • Reflects on what is working and what could be improved.
If [Participant Name] were to make improvements in Quality, what are your suggestions for how he/she can improve this?

Change Management

  • Supports the Company's efforts to implement changes.
  • Supports new initiatives for organizational changes to improve effectiveness.
  • Effective in implementing new organizational vision and values.
  • Assists others in understanding changes to the organization.
  • Adopts changes to set and example for others to follow.
If [Participant Name] were to make improvements in Change Management, what are your suggestions for how he/she can improve this?


  • Demonstrates congruence between statements and actions.
  • Works in a way that makes others want to work with her/him.
  • Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  • Communicates an understanding of the other person's interests, needs and concerns.
  • Takes care to maintain confidential information.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?
Overall, please rate the effectiveness of [Participant Name Here].


Areas for Development

Please give any final comments or suggestions for [Participant Name Here]'s assessment.