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HR-Survey > 360-Degree Feedback > Competency Model > Leadership Skills
Leadership - 360 Degree Feedback Survey Sample #7
360 Feedback Survey 2025
Instructions
Questionnaires Measuring Leadership:
We are requesting your participation in a 360-degree feedback Survey 1 (4-point scale; Competency Comments)
review of several participants in our company's Leadership Survey 2 (4-point scale; Competency Comments)
Development program. We are administering a new web-based Survey 3 (5-point scale; Competency Comments)
survey tool which is designed to gather broad feedback as it relates Survey 4 (5-point scale; radio buttons)
to core competencies and role responsibilities that are important for Survey 5 (4-point scale; words)
the on-going success of our organization. The Leadership Team Survey 6 (4-point scale; words)
Members have agreed to participate and are seeking your feedback. Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
In this regard, you have been selected to provide feedback for the Survey 9 (3-point scale; Strength/Development; N/A)
manager listed above. Your feedback is an important part of this Survey 10 (Comment boxes only)
manager's leadership development process. This tool is intended to Survey 11 (Single rating per competency)
gather broad feedback in the core competencies and role Survey 12 (Slide-bar scale)
responsibilities that are important for the on-going success of our Survey 13 (4-point scale; numbers; floating anchors)
organization. Survey 14 (4-point scale; N/A)
You will get the chance to evaluate this manager's performance in
different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is
constructive and helpful.
In
Sample Result Document: Competencies Included:
Sample Results Leadership, Clarity, Trustworthy, Conflict Management,
Business Acumen, Company, Fiscal Management
responding to the assessment form, please think about your
experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's
feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the
manager, unless you indicate otherwise.
You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4
Performance Levels. Click on the level that best describes this individual.
Please ensure that your submission is made between November 3 and November 16.
Needs Fully Excels/ Not
Leadership Improvement Proficient Role Model Applicable
1. Sets clear goals and objectives for
subordinates.
2. Provides employees with the authority
and resources needed to make decisions
within their roles.
3. Provides challenging assignments to
employees.
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4. Influences others on his/her team to
reach goals, improve performance, and
try new things
5. Expects employees to represent the
organization with excellence at all times.
If [Participant Name] were to make improvements in Leadership, what are your suggestions for how he/she can improve this?
Needs Fully Excels/ Not
Clarity Improvement Proficient Role Model Applicable
6. Provides a clear vision for the future.
7. Clearly defines work objectives for
employees.
8. Maintains clarity in goals and objectives.
9. Communicates with clarity and efficiency.
10. Clearly explains responsibilities to
individuals.
If [Participant Name] were to make improvements in Clarity, what are your suggestions for how he/she can improve this?
Needs Fully Excels/ Not
Trustworthy Improvement Proficient Role Model Applicable
11. Takes ownership, delivers on
commitments
12. Takes care to maintain confidential
information.
13. Seeks to mitigate grievances by clarifying
intentions and finding suitable remedies.
14. Communicates an understanding of the
other person's interests, needs and
concerns.
15. Works in a way that makes others want to
work with her/him.
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If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve
this?
Needs Fully Excels/ Not
Conflict Management Improvement Proficient Role Model Applicable
16. Establishes roles and responsibilities of
team members.
17. Facilitates constructive dialog with
stakeholders.
18. Seeks to develop a shared understanding
of the issues involved.
19. Facilitates the resolution of grievances by
fostering mutual understanding and
appreciation of each party's needs.
20. Responds calmly and courteously to help
de-escalate situations and lead to more
productive and respectful dialogue
showcasing effective conflict resolution
skills.
If [Participant Name] were to make improvements in Conflict Management, what are your suggestions for how he/she can
improve this?
Needs Fully Excels/ Not
Business Acumen Improvement Proficient Role Model Applicable
21. Able to correctly assess current/estimated
valuations.
22. Has a good understanding of business
operations to more effectively align
company services to meet the needs of its
customers.
23. Provides a high level of business services
to customers.
24. Sponsors and promotes business
efficiency changes.
25. Creates robust talent development
programs through the identification of
key skills gaps and future needs ensuring
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the company is able to meet its mission
and vision.
If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she can
improve this?
Needs Fully Excels/ Not
Company Improvement Proficient Role Model Applicable
26. Facilitates the company's big impact on
the local community.
27. Highlights individual and team efforts
that exemplify the company's standards
and spirit.
28. Does the right thing, even when no one is
watching.
29. Fosters an organizational culture that
focuses on collaboration, respect, and
continuous learning.
30. Provides opportunities for skill
development and career advancement
within the company.
If [Participant Name] were to make improvements in Company, what are your suggestions for how he/she can improve this?
Needs Fully Excels/ Not
Fiscal Management Improvement Proficient Role Model Applicable
31. Provides budgeting and accounting
support to the Company.
32. Effective in using Company's resources.
33. Monitors spending.
34. Develops budgets and plans for various
programs and initiatives.
35. Keeps excellent records for financial
transparency.
If [Participant Name] were to make improvements in Fiscal Management, what are your suggestions for how he/she can
improve this?
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36. Strengths
37. Areas for Development
38. Please give any final comments or suggestions for [Participant Name Here]'s assessment.
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