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Sample 360-Degree Feedback Survey

DecisionWise Leadership Intelligence 360-degree Feedback Surveys measure 13 leadership competencies and 13 derailer behaviors to provide individuals a robust view of their performance in the eyes of others.

We have several versions that have been tested and validated to collect relevant and actionable feedback for:


  • Executive Leaders
  • Business Leaders
  • Team Leaders
  • Individual Contributors
  • Sales Professionals
  • Healthcare Leaders
  • Physicians


  • Business Acumen
  • Decision Making
  • Planning & Organization
  • Teamwork & Collaboration
  • Customer Focus
  • Innovation & Creativity
  • Results Orientation
  • Leading Others
  • Integrity & Trust
  • Managing Change
  • Communication
  • Performance Management

Each 360 assessment contains a special Derailer section to identify behaviors that undermine a leader’s effectiveness. A derailer is not just a weakness. We all have weaknesses that we may not need to develop to succeed. A derailer is a weakness that requires improvement if we are to realize our potential.

The following provides a list of common derailers that we measure on our Leadership Intelligence 360 degree feedback assessments:

  • Lacks Focus
  • Not a Team Player
  • Disengaged
  • Not Trusted
  • Micromanager
  • Volatile
  • Lacks Confidence
  • Aloof
  • Arrogant
  • Closed-minded
  • Eager to please
  • Perfectionist

You work with an assessment consultant to customize a 360 to align with your existing leadership competencies. Our questions have been statistically validated and provide reliable and actionable feedback for assessing leadership competency and behavior. We can also provide you an existing assessment and run the entire process for you.