Strategic Insight- 360 Degree Feedback Survey Sample #11

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Strategic Insight

What does Strategic Insight mean?
It means that ...
  • You identify root causes of problems.
  • You understand the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
  • You communicate vision for the department and company.
  • You formulate policies and strategies for addressing the Company's important challenges.
  • You identify potential problems before they become critical incidents.

To what extent does this person exhibit Strategic Insight?
Select from one of the ratings below.


What does Creativity mean?
It means that ...
  • You inspire creativity in your team.
  • You are creative.
  • You develop solutions to challenging problems.
  • You add value to the department/organization.
  • You are creative and inspirational.

To what extent does this person exhibit Creativity?
Select from one of the ratings below.

Self Management

What does Self Management mean?
It means that ...
  • You analyze interpersonal problems instead of reacting to them.
  • You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
  • You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  • You do not allow own emotions to interfere with the performance of others.
  • You step away from a situation to process appropriate response.

To what extent does this person exhibit Self Management?
Select from one of the ratings below.

Commitment To Result

What does Commitment To Result mean?
It means that ...
  • You take immediate action toward goals.
  • You coordinate all department activities into a cohesive team effort.
  • You are committed to the team.
  • You are willing to do whatever it takes-not afraid to have to put in extra effort.
  • You maintain persistence and dedication to achieving results.

To what extent does this person exhibit Commitment To Result?
Select from one of the ratings below.


What does Teamwork mean?
It means that ...
  • You facilitate team discussions and problem-solving
  • You act as an effective team player
  • You share credit for accomplishments with team members
  • You apply knowledge of team behavior to help achieve organizational goals and objectives.
  • You provide assistance and support to other team members when needed

To what extent does this person exhibit Teamwork?
Select from one of the ratings below.

Areas for Development

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