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Attitude - 360 Degree Feedback Template #2





Questionnaires Measuring Attitude:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months and the goals they were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be discussed with the employee to foster growth and on-going development.

Competencies Included:
Attitude, Leadership, Communication Skills, Administrative Skill, Initiative, Change Management, Clarity, Customer Focus, Others, Entrepreneurship, Global Perspective
Sample Result Document:
Sample Results
Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Please ensure that your submission is made between . The survey will only be available during these dates.
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Attitude

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is willing to accept and manage risk that may be necessary to achieve goals.
  1. Demonstrates care and thoughtfulness in even the smallest tasks.
  1. Responds constructively to last-minute changes and shifting priorities, without frustration or resistance, and with a positive attitude.
  1. Frames setbacks as temporary and treatable, helping the team stay focused on solutions.
  1. Communicates future goals with excitement and clarity, inspiring confidence in what lies ahead.
What are your suggestions for how [Participant Name] can make improvements
in Attitude?

Leadership

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Incorporates the company Philosophy, Mission Statement, and Core Values into daily branch life so that co-workers accept them as more than just written documents
  1. Frames feedback in a way that supports learning and professional development.
  1. Effective leadership talent and skills
  1. Focuses team efforts on meeting the needs of the customers.
  1. Expects continuous learning, skill-building, and professional growth from employees.
What are your suggestions for how [Participant Name] can make improvements
in Leadership?

Communication Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Confidently interacts with all tiers of the organization.
  1. Delivers messages with personal energy, enthusiasm, and conviction.
  1. Delivers information in a clear, concise, and logical manner.
  1. Conducts regular performance feedback discussions with individuals and teams
  1. Delivers effective presentations.
What are your suggestions for how [Participant Name] can make improvements
in Communication Skills?

Administrative Skill

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Plans, administers, and controls budgets for contracts, equipment, and supplies.
  1. Follows company guidelines, policies, regulations, procedures, and work ethics.
  1. Implements company records retention policies.
  1. Plans and prioritizes facets/aspects of project workloads to keep on schedule.
  1. Prepares invoices, reports, memos, letters, financial statements, and other documents, using word processing, spreadsheet, database, or presentation software.
What are your suggestions for how [Participant Name] can make improvements
in Administrative Skill?

Initiative

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Takes on extra projects after required work is completed.
  1. When working on a problem in a team, they are often the first to suggest possible solutions.
  1. Initiates important conversation topics at meetings.
  1. Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
  1. Seizes upon chances to improve the department's prospects.
What are your suggestions for how [Participant Name] can make improvements
in Initiative?

Change Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Invests in training and development to equip employees with the necessary skills to successfully navigate the changing environment.
  1. Resolves internal political issues that may impact the changes.
  1. Ensures that employees impacted by the change are included in the process.
  1. Addresses organizational and departmental resistance to changes.
  1. Helps employees to understand and make sense of the changes.
What are your suggestions for how [Participant Name] can make improvements
in Change Management?

Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Seeks to reduce ambiguity in messaging and documents.
  1. Maintains clarity in goals and objectives.
  1. Makes sure employees understand why they were given certain assignments.
  1. Provides a clear vision for the future.
  1. Writes clear job descriptions for positions in the organization.
What are your suggestions for how [Participant Name] can make improvements
in Clarity?

Customer Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Anticipates and proactively resolves issues that the customer may face.
  1. Provides a high level of service to customers.
  1. Meets with customers on a regular basis.
  1. Exceeds expectations of the customers.
  1. Solves issues that customers may be having.
What are your suggestions for how [Participant Name] can make improvements
in Customer Focus?

Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Works effectively with people from other departments.
  1. Treats others with respect and dignity.
  1. ...treats others with respect and dignity.
  1. Forms working relationships with employees from other departments.
  1. Consistently demonstrates ability and willingness to trust others.
What are your suggestions for how [Participant Name] can make improvements
in Others?

Entrepreneurship

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Takes the initiative to complete tasks.
  1. Has a strategic awareness on how to promote the organization.
  1. Understands the processes and various stages of business development.
  1. Able to adapt the department to changing business demands and climate.
  1. Maintains a high level of energy to respond to demands of the job.
What are your suggestions for how [Participant Name] can make improvements
in Entrepreneurship?

Global Perspective

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Facilitates open communication with individuals from other countries.
  1. Has positive interactions with individuals from different cultures and backgrounds.
  1. Demonstrates a curiosity about diverse individuals and cultures.
  1. Is able to work with individuals having different backgrounds and cultures.
  1. Understands global systems such as the global economy.
What are your suggestions for how [Participant Name] can make improvements
in Global Perspective?


  1. Strengths


  2. Areas for Development


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.