This is a standard sample questionnaire for illustrative purposes. Next platform allows you to create your own full-length, custom questionnaires

1. Custom 360 for client
Givenbelowisanoutline of the designof the Questionnaire which hasbeenproposedforuse
for the 360 feedbacksurveysfor the Participantsfollowedbythe detailedQuestionnaire.There
will be twosubjectivequestionswhere the respondentswill be able towrite subjective
commentsinresponse tothese questionsandthe responseswillbe presentedinthe 360 report
anonymously
Competencies Covered
The proposed Questionnaire design will cover the following 6 Competencies. The Questionnaire
will consistof 4 statementsundereachcompetency.
Collaboration&Teamwork
DevelopingOthers
Operational Effectiveness
Initiative &Ownership
Adaptability&Change Management
Buildingaculture of Innovation
Scale
We propose touse the followingfive pointscale:
Never– Seldom– Sometimes- Often– Always
An additional optionof “Don’tknow/NotApplicable”will be includedinadditiontothese five
scale points.
Subjective Questions
There will be 2 subjective questions included at the end of the 360 feedback survey.
Respondents will be able to write subjective comments in response to these questions and the
responseswillbe presentedinthe 360 reportanonymously.

2. Detailed 360 Survey Questionnaire
Collaboration& Teamwork
Works effectivelyandtransparentlywithothers;resolveconflictsandbuildtrustedrelationships
- Openlysharesknowledgeandinformationwithothers
- Buildsandmaintainstrusted relationshipswithothersacrossteamsandgeographies
- Is able topersuade otherstoagree to himby presentinghisviewsclearlyand
persuasively
- Is able toresolve conflictswithothersinanopenand respectful manner
DevelopingOthers
Collaborates effectivelywithotherstoachieve commongoals;seeksandprovidesconstructive
feedbackandsupportotherstoachieve setresults;acknowledgescontributionof others
- Establishesclearandspecificgoals,expectationsandpriorities
- Effectivelydelegates tasksandactivitiestootherteammembers/stakeholders
- Mentorsand providesregularfeedbacktootherstohelpthemachieve their
goals/objectives
- Recognizesothersfortheirsupportandcontribution
Operational Effectiveness
Effectivelyplansandexecutestoachieve businessresults;workstogetherwithotherstocreate
practical solutionstoissuesandproblems
- Successfullygetsthingsdone toachieve businessgoalsandresults
- Setsand communicatesrealistic&practical milestonesandtimelines
- Effectivelymanagesresourcestomeetchangingbusinesspriorities
- Comesupwithpractical solutionstoproblems
Initiative & Ownership
Demonstratesstrongsense of responsibilitytowardsbusinesscommitments;effectivelytakes
decisionsandutilizes resourcesinordertomeetprofessional commitments
- Deliversonprofessionalcommitmentsdespite time pressure andchallenges
- Displayscuriosityandinterestinunderstandingbusinesschallengesanddrivers
- Takesrequireddecisionsintime

3. - Acceptsresponsibilityforownactionandlearnsfrommistakes
Adaptability& Change Management
Effectivelydealswithsituationsinvolvinguncertaintyandchange;Demonstratesflexibilityand
resilience tocome upwithsolutionstoproblems
- Manages situationsorissues involvingambiguityorsetbackwithcalmandcomposure
- Is flexibleinownapproachto handle change anduncertainty
- Communicatesthe change decisionclearlyandtransparentlytoothers
- Helpsothersdeal withthe changes
Buildinga culture of Innovation
Effectivelydealswithsituationsinvolvinguncertaintyandchange;Demonstratesflexibilityand
resilience tocome upwithsolutionstoproblems
- Goesbeyondowncomfortarea to try new thingsandtake up new projects
- Continuouslychallengesthe currentwaysof workingtoidentifyareasof improvement
- Takescalculatedriskstotry newor differentwaysof gettingthingsdone
- Encouragesothersto come up withinnovativeideasandpractical solutionstoproblems
Subjective Questions:
1. What would you like this person to start doing more going forward? For example, “you
should communicate changes to plans earlier” or “please provide more regular and
honest feedback to your team members”. Your comments will be presented
anonymously.
2. What would you like this person to do less or stop doing going forward? For example,
“please stop coming late for meetings” or “Don’t make fun of other colleagues in team
meetings”.Your commentswill be presentedanonymously.