Sample 360 Feedback for Xxxx

1. Developing Executive Capacity

Please score this person by giving your candid answers to the questions below.

(Answers will go to the Numina team, who will compile the results for each leader. Your answers will remain anonymous and confidential, nothing attributed to you.)

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1. How would you describe her/his leadership style?

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2. In which areas is her/his capacity strongly developed and which are not so developed?

	Not Well Developed	Below Average	Average	Above Average	Strong	Highly Developed
1. PERCEPTIVE in Reading People and Situations	1. PERCEPTIVE in Reading People and Situations Not Well Developed	1. PERCEPTIVE in Reading People and Situations Below Average	1. PERCEPTIVE in Reading People and Situations Average	1. PERCEPTIVE in Reading People and Situations Above Average	1. PERCEPTIVE in Reading People and Situations Strong	1. PERCEPTIVE in Reading People and Situations Highly Developed
2. CURIOUS to Uncover What Is Missing	2. CURIOUS to Uncover What Is Missing Not Well Developed	2. CURIOUS to Uncover What Is Missing Below Average	2. CURIOUS to Uncover What Is Missing Average	2. CURIOUS to Uncover What Is Missing Above Average	2. CURIOUS to Uncover What Is Missing Strong	2. CURIOUS to Uncover What Is Missing Highly Developed
3. CLEAR in Prioritizing What Matters Most	3. CLEAR in Prioritizing What Matters Most Not Well Developed	3. CLEAR in Prioritizing What Matters Most Below Average	3. CLEAR in Prioritizing What Matters Most Average	3. CLEAR in Prioritizing What Matters Most Above Average	3. CLEAR in Prioritizing What Matters Most Strong	3. CLEAR in Prioritizing What Matters Most Highly Developed
4. STRONG in Confronting Opposition or Deceit	4. STRONG in Confronting Opposition or Deceit Not Well Developed	4. STRONG in Confronting Opposition or Deceit Below Average	4. STRONG in Confronting Opposition or Deceit Average	4. STRONG in Confronting Opposition or Deceit Above Average	4. STRONG in Confronting Opposition or Deceit Strong	4. STRONG in Confronting Opposition or Deceit Highly Developed
5. EMPATHETiC in Supporting the Needs of the Team	5. EMPATHETiC in Supporting the Needs of the Team Not Well Developed	5. EMPATHETiC in Supporting the Needs of the Team Below Average	5. EMPATHETiC in Supporting the Needs of the Team Average	5. EMPATHETiC in Supporting the Needs of the Team Above Average	5. EMPATHETiC in Supporting the Needs of the Team Strong	5. EMPATHETiC in Supporting the Needs of the Team Highly Developed
6. CONNECTED to People, Resources and Opportunities	6. CONNECTED to People, Resources and Opportunities Not Well Developed	6. CONNECTED to People, Resources and Opportunities Below Average	6. CONNECTED to People, Resources and Opportunities Average	6. CONNECTED to People, Resources and Opportunities Above Average	6. CONNECTED to People, Resources and Opportunities Strong	6. CONNECTED to People, Resources and Opportunities Highly Developed
7. VISIONARY in Attracting People to a Compelling Future	7. VISIONARY in Attracting People to a Compelling Future Not Well Developed	7. VISIONARY in Attracting People to a Compelling Future Below Average	7. VISIONARY in Attracting People to a Compelling Future Average	7. VISIONARY in Attracting People to a Compelling Future Above Average	7. VISIONARY in Attracting People to a Compelling Future Strong	7. VISIONARY in Attracting People to a Compelling Future Highly Developed
8. EMPOWERING in Motivating People to Excel	8. EMPOWERING in Motivating People to Excel Not Well Developed	8. EMPOWERING in Motivating People to Excel Below Average	8. EMPOWERING in Motivating People to Excel Average	8. EMPOWERING in Motivating People to Excel Above Average	8. EMPOWERING in Motivating People to Excel Strong	8. EMPOWERING in Motivating People to Excel Highly Developed

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3. How well does she/he perform the following behaviors?

	Performs Poorly	Below Average	Average	Above Average	Strong	Performs Excellently
1. Invites Feedback	1. Invites Feedback Performs Poorly	1. Invites Feedback Below Average	1. Invites Feedback Average	1. Invites Feedback Above Average	1. Invites Feedback Strong	1. Invites Feedback Performs Excellently
2. Recognizes His/Her Impact on Others	2. Recognizes His/Her Impact on Others Performs Poorly	2. Recognizes His/Her Impact on Others Below Average	2. Recognizes His/Her Impact on Others Average	2. Recognizes His/Her Impact on Others Above Average	2. Recognizes His/Her Impact on Others Strong	2. Recognizes His/Her Impact on Others Performs Excellently
3. Explores Diverse Perspectives	3. Explores Diverse Perspectives Performs Poorly	3. Explores Diverse Perspectives Below Average	3. Explores Diverse Perspectives Average	3. Explores Diverse Perspectives Above Average	3. Explores Diverse Perspectives Strong	3. Explores Diverse Perspectives Performs Excellently
4. Sets and Completes Clear Goals	4. Sets and Completes Clear Goals Performs Poorly	4. Sets and Completes Clear Goals Below Average	4. Sets and Completes Clear Goals Average	4. Sets and Completes Clear Goals Above Average	4. Sets and Completes Clear Goals Strong	4. Sets and Completes Clear Goals Performs Excellently
5. Says "No" Cleanly when Needed	5. Says "No" Cleanly when Needed Performs Poorly	5. Says "No" Cleanly when Needed Below Average	5. Says "No" Cleanly when Needed Average	5. Says "No" Cleanly when Needed Above Average	5. Says "No" Cleanly when Needed Strong	5. Says "No" Cleanly when Needed Performs Excellently
6. Persists in the Face of Adversity	6. Persists in the Face of Adversity Performs Poorly	6. Persists in the Face of Adversity Below Average	6. Persists in the Face of Adversity Average	6. Persists in the Face of Adversity Above Average	6. Persists in the Face of Adversity Strong	6. Persists in the Face of Adversity Performs Excellently
7. Admits Her/His Pain	7. Admits Her/His Pain Performs Poorly	7. Admits Her/His Pain Below Average	7. Admits Her/His Pain Average	7. Admits Her/His Pain Above Average	7. Admits Her/His Pain Strong	7. Admits Her/His Pain Performs Excellently
8. Enters the Others' Reality	8. Enters the Others' Reality Performs Poorly	8. Enters the Others' Reality Below Average	8. Enters the Others' Reality Average	8. Enters the Others' Reality Above Average	8. Enters the Others' Reality Strong	8. Enters the Others' Reality Performs Excellently
9. Welcomes Deep Friendship	9. Welcomes Deep Friendship Performs Poorly	9. Welcomes Deep Friendship Below Average	9. Welcomes Deep Friendship Average	9. Welcomes Deep Friendship Above Average	9. Welcomes Deep Friendship Strong	9. Welcomes Deep Friendship Performs Excellently
10. Declares Her/His Vision	10. Declares Her/His Vision Performs Poorly	10. Declares Her/His Vision Below Average	10. Declares Her/His Vision Average	10. Declares Her/His Vision Above Average	10. Declares Her/His Vision Strong	10. Declares Her/His Vision Performs Excellently
11. Brings Out the Best in People	11. Brings Out the Best in People Performs Poorly	11. Brings Out the Best in People Below Average	11. Brings Out the Best in People Average	11. Brings Out the Best in People Above Average	11. Brings Out the Best in People Strong	11. Brings Out the Best in People Performs Excellently
12. Asks for Help	12. Asks for Help Performs Poorly	12. Asks for Help Below Average	12. Asks for Help Average	12. Asks for Help Above Average	12. Asks for Help Strong	12. Asks for Help Performs Excellently
13. Promotes the Company's Reputation	13. Promotes the Company's Reputation Performs Poorly	13. Promotes the Company's Reputation Below Average	13. Promotes the Company's Reputation Average	13. Promotes the Company's Reputation Above Average	13. Promotes the Company's Reputation Strong	13. Promotes the Company's Reputation Performs Excellently
14. Engages Outside Stakeholders	14. Engages Outside Stakeholders Performs Poorly	14. Engages Outside Stakeholders Below Average	14. Engages Outside Stakeholders Average	14. Engages Outside Stakeholders Above Average	14. Engages Outside Stakeholders Strong	14. Engages Outside Stakeholders Performs Excellently
15. Cultivates an Effective Board	15. Cultivates an Effective Board Performs Poorly	15. Cultivates an Effective Board Below Average	15. Cultivates an Effective Board Average	15. Cultivates an Effective Board Above Average	15. Cultivates an Effective Board Strong	15. Cultivates an Effective Board Performs Excellently

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4. Is there anything else you would like to say to help her/him grow as a leader?

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5. Thank you so much!

Please enter your unique code here.
(If you don't have your code, you can request it from jochen@numina.com, or you can enter your name. This is used for tracking purposes only. Leader will only receive summarized results and nothing will be attributed to you):