360 Degree Feedback Questionnaire
DO NOT complete this questionnaire. It is not the correct one.
Thank you for your co-operation. There is no time limit for completing the questionnaire, however it normally takes between 15 and 20 minutes.
This questionnaire relates to
Your name
Your relationship to participant
There are three sections to the questionnaire.
1. Delivery of Results
2. Leadership and Communications
3. Business Strategy
The sections have subheadings e.g. Impact, Competence, Creative Problem Solving and Issue Resolution.
Each subheading has a number of statements which should be responded to according to the extent to which you agree with them on the scale of 1 to 6, where 1 means 'Strongly Agree' and 6 means 'Strongly Disagree'. Please use the full range of responses as this will provide better feedback to participants.
At the end of each section there are boxes for "Comments" and "Suggestions for Improvement". Please add to these with relevant comments or suggestions .
Please try to respond to every statement but if you feel you have no knowledge of a particular aspect of their behaviour, select "No Answer".
The 360 Degree questionnaire is intended to measure the perceptions of others as well as to conduct a self-assessment.
The information you provide will be collated with that of others and will be fed back to the participant. The questionnaire is confidential and no individual or attributable answers will be provided and no individual�s responses will be identified. Therefore we encourage you to base your feedback on work based behaviour and be as honest and straightforward as possible in responding to each question.
Thank you for taking the time to complete this questionnaire.
Please rate the participants current performance as you have observed for each of the statements which follows.
1 Delivery of Results
Impact
Puts top priority on getting results  1 Strongly Agree
 2
 3
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 5
 6 Strongly Disagree
 No Answer
Delivers results through leadership of direct reports  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Ensures closure of priority objectives  1 Strongly Agree
 2
 3
 4
 5
 6 Strongly Disagree
 No Answer
Is able to lead and develop the big picture  1 Strongly Agree
 2
 3
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 5
 6 Strongly Disagree
 No Answer
Works towards win/win solutions whenever possible  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Always considers cost  1 Strongly Agree
 2
 3
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 5
 6 Strongly Disagree
 No Answer
Overcomes barriers to ensure delivery  1 Strongly Agree
 2
 3
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 5
 6 Strongly Disagree
 No Answer
Competence
Participates fully in technical and business discussions to aid decision making  1 Strongly Agree
 2
 3
 4
 5
 6 Strongly Disagree
 No Answer
Employs effective work processes to deliver results  1 Strongly Agree
 2
 3
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 6 Strongly Disagree
 No Answer
Creative Problem Solving and Issue Resolution
Tackles new challenges with enthusiasm  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Includes others as appropriate in resolving problems and issues  1 Strongly Agree
 2
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 6 Strongly Disagree
 No Answer
Uses a rational, logical approach  1 Strongly Agree
 2
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 6 Strongly Disagree
 No Answer
Generates innovative ideas  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Creates the environment for others to offer ideas  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Is proactive in handling issues  1 Strongly Agree
 2
 3
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 5
 6 Strongly Disagree
 No Answer
Makes timely decisions  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Uses data based decision making  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Uses the appropriate level of analysis without over analysing  1 Strongly Agree
 2
 3
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 5
 6 Strongly Disagree
 No Answer
Flexibility
Promotes and adapts to change as required  1 Strongly Agree
 2
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 6 Strongly Disagree
 No Answer
Supports continuous improvement efforts in the organization  1 Strongly Agree
 2
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 6 Strongly Disagree
 No Answer
Is willing to do something different to improve performance  1 Strongly Agree
 2
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 6 Strongly Disagree
 No Answer
Is comfortable in dealing with uncertainties  1 Strongly Agree
 2
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 6 Strongly Disagree
 No Answer
Personal approach
Is willing to admit mistakes and does not hide errors  1 Strongly Agree
 2
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 6 Strongly Disagree
 No Answer
Sets high standards of performance for themselves  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Sets high standards of performance for others  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Accepts responsibility and delivers on promises  1 Strongly Agree
 2
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 6 Strongly Disagree
 No Answer
People in their team are encouraged to �play to strengths�  1 Strongly Agree
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 6 Strongly Disagree
 No Answer
Through their own commitment inspires others to go that extra mile  1 Strongly Agree
 2
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 6 Strongly Disagree
 No Answer
Displays a positive and enthusiastic approach to work  1 Strongly Agree
 2
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 6 Strongly Disagree
 No Answer
Encourages a work life balance in self and others  1 Strongly Agree
 2
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 6 Strongly Disagree
 No Answer
Ensures safety is (first) priority in all decisions and actions  1 Strongly Agree
 2
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 6 Strongly Disagree
 No Answer
Displays a determination to succeed  1 Strongly Agree
 2
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 6 Strongly Disagree
 No Answer
Any other comments on Delivery of Results?
Where could the participant improve in Delivery of Results?
2 Leadership and Communication
Generating trust and promoting integrity
Displays a high level of integrity  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Treats all parties in a fair and equitable manner  1 Strongly Agree
 2
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 6 Strongly Disagree
 No Answer
Avoids conflicts of interest  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Accepts feedback on behaviour, performance and capability  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Providing direction
Ensures people know what�s expected of them at work  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Leads by example  1 Strongly Agree
 2
 3
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 5
 6 Strongly Disagree
 No Answer
Provides feedback and direction  1 Strongly Agree
 2
 3
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 5
 6 Strongly Disagree
 No Answer
Encourages an environment where feedback is given and lessons are learned  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Delegation of responsibility
Always involves others in shaping decisions that affect them  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Creates an environment where people are not afraid to take business risks (excluding HSEA or operational risks)  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Provides the right level of monitoring to ensure individuals meet their objectives  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Developing Individual Talent
Is effective at developing individuals in their team  1 Strongly Agree
 2
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 6 Strongly Disagree
 No Answer
Makes opportunities available to people for growth and development  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Carries out regular reviews of performance and provides constructive guidance for performance improvement  1 Strongly Agree
 2
 3
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 5
 6 Strongly Disagree
 No Answer
Uses coaching to help individuals develop their full potential  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Communication skills
Communicates thoroughly, clearly and carefully  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Encourages questioning at all levels of the organisation  1 Strongly Agree
 2
 3
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 5
 6 Strongly Disagree
 No Answer
Shares problems openly with others to find solutions  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Gives specific constructive feedback across the organization  1 Strongly Agree
 2
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 6 Strongly Disagree
 No Answer
Actively listens to fully understand what is being said  1 Strongly Agree
 2
 3
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 5
 6 Strongly Disagree
 No Answer
Teamwork skills
Ensures project teams use project management principles  1 Strongly Agree
 2
 3
 4
 5
 6 Strongly Disagree
 No Answer
Expresses appreciation for work well done  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Coordinates effectively both internal and external teams  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Understand their impact on others
Actively solicits other�s point of view  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Supports others and welcome their ideas  1 Strongly Agree
 2
 3
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 5
 6 Strongly Disagree
 No Answer
Is accessible/available when needed  1 Strongly Agree
 2
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 6 Strongly Disagree
 No Answer
Exerts influence without causing resentment  1 Strongly Agree
 2
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 6 Strongly Disagree
 No Answer
Any other comments on Leadership and Communication?
Where could the participant improve in Leadership and Communication?
3 Business Strategy
Strategy & Vision
Always sees the inter-relatedness of factors  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Makes decisions based on both long and short term considerations  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Protects the key technical and commercial interests of the organisation  1 Strongly Agree
 2
 3
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 5
 6 Strongly Disagree
 No Answer
Process
Only implements and supports systems that progress business objectives  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Keeps bureaucracy at an appropriate level  1 Strongly Agree
 2
 3
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 5
 6 Strongly Disagree
 No Answer
Gaining Commitment
Communicates widely the overall business objectives  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Provides direct reports with up to date business information  1 Strongly Agree
 2
 3
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 5
 6 Strongly Disagree
 No Answer
Creates performance contracts that lead to delivery of business results  1 Strongly Agree
 2
 3
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 5
 6 Strongly Disagree
 No Answer
Building relationships
Networks effectively across interfaces  1 Strongly Agree
 2
 3
 4
 5
 6 Strongly Disagree
 No Answer
Influences others to gain commitment  1 Strongly Agree
 2
 3
 4
 5
 6 Strongly Disagree
 No Answer
Has credibility with all levels of management  1 Strongly Agree
 2
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 5
 6 Strongly Disagree
 No Answer
Networks appropriately with suppliers and industry peers  1 Strongly Agree
 2
 3
 4
 5
 6 Strongly Disagree
 No Answer
Any other comments on Business Strategy?
Where could the participant improve in Business Strategy?
Please feel free to add any further comments
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