Attitude - 360 Degree Feedback Survey Sample #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)
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.


Attitude

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Contributes to a positive and fun work environment.
  1. Visibly supports and encourages diversity in style and background.
  1. Is gracious and professional in their interactions with others.
  1. Contributes to a positive work environment.
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. Demonstrates leadership and courage in critical situations.
  1. Sets a high level of performance expectations and challenges others to do the same.
  1. Sets clear goals and objectives for subordinates.
  1. Effectively leads others.
  1. Sits down regularly with employees to review their job performance.
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. Articulates ideas and emotions clearly to others.
  1. Coaches others and provides feedback on the use of different oral communication styles for different audiences
  1. Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
  1. Engages in clear communication with both senior and junior management.
  1. Responds to critical concerns of stakeholders.
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. Completes reports on-time.
  1. Strong organizational skills to keep the workspace and department in order
  1. Accurately implements contract provisions.
  1. Able to develop, justify and present a budget.
  1. Implements and uses performance measures.
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. Does things without being told.
  1. Seizes upon opportunities available.
  1. Initiates important conversation topics at meetings.
  1. Quickly comes to the aid of those who may need help.
  1. Creates solutions to problems as soon as an incident occurs.
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. Is a leading force driving changes.
  1. Adopts changes to set and example for others to follow.
  1. Able to get department employees to accept new changes.
  1. Facilitates change with minimal resistance.
  1. Effective in dealing with ambiguous and challenging situations.
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. Clearly explains the vision and goals of the company.
  1. Clearly defines work objectives for employees.
  1. Avoids creating ambiguity or mixed messages.
  1. Is clear about goals that need to be achieved.
  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. Tailors solutions to meet the specific needs of each customer.
  1. Accepts responsibility for ensuring customer satisfaction.
  1. Engages with customers on multiple levels.
  1. Focuses on maintaining good relationships with customers.
  1. Helps others in responding to customer needs.
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. Able to see issues from others' perspectives.
  1. ...treats others with respect and dignity.
  1. Consistently demonstrates ability and willingness to trust others.
  1. Works effectively with people from other departments.
  1. Is able to see issues from others' perspectives.
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. Understands the processes and various stages of business development.
  1. Able to adapt the department to changing business demands and climate.
  1. Takes the initiative to complete tasks.
  1. Is comfortable operating in an environment of uncertainty.
  1. Encourages risk taking for developing potential business opportunities.
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. Builds working relationships with others across cultures.
  1. Volunteers for experiences and assignments abroad.
  1. Understands how cultures differ and how these differences impact work behavior.
  1. Works well with others from different cultural backgrounds.
  1. Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
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.