hr-survey.com

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)
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.

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. Shows by their actions that they trust in the positive intentions of others.
  1. Treats all people fairly and with respect.
  1. Contributes to a positive work environment.
  1. Is gracious and professional in their interactions with others.
  1. Builds open and trusting relationships.
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. Leads team to set goals, solve problems, and accomplish tasks.
  1. Sets a high level of performance expectations and challenges others to do the same.
  1. Acts decisively in implementing decisions.
  1. Able to influence others.
  1. Able to organize the work of others.
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. Verifies understanding throughout discussions.
  1. Willing to accept feedback from others.
  1. Communicates with department leadership
  1. Accurately attends to/understands ideas which are exchanged.
  1. Communicates effectively with all levels of the organization.
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. Takes responsibility for decisions.
  1. High attention to detail.
  1. Implements and uses performance measures.
  1. Accurately implements contract provisions.
  1. Able to develop, justify and present a budget.
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 action to implement new changes in the policies and procedures.
  1. Immediately informs the HR Department of any personnel complaints or issues.
  1. Initiates the development of new products.
  1. Immediately informs the supervisor of any critical incidents.
  1. Independently seeks out new learning opportunities to improve their skills.
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. Supports new initiatives for organizational changes to improve effectiveness.
  1. Develops plans for following through on the changes.
  1. Is a leading force driving changes.
  1. Effective in dealing with ambiguous and challenging situations.
  1. Able to get team members to change their attitudes.
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. Writes clear job descriptions for positions in the organization.
  1. Is clear about goals that need to be achieved.
  1. Provides a clear vision for the future.
  1. Makes sure employees understand why they were given certain assignments.
  1. Clearly defines work objectives for employees.
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. Manages customer accounts with high degree of competence.
  1. Documents customer interactions.
  1. Ensures customers' expectations are met or exceeded.
  1. Creates high quality products for the 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. Supports the efforts of other employees in implementing solutions to problems.
  1. Is able to see issues from others' perspectives.
  1. Treats others with respect and dignity.
  1. Forms working relationships with employees from other departments.
  1. Works across boundaries within the organization.
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. Seeks and utilizes mentors to help guide professional development.
  1. Exhibits determination and passion in completion of goals.
  1. Devotes a certain amount of time and effort to developing new business opportunities.
  1. Takes the initiative to complete tasks.
  1. Able to adapt the department to changing business demands and climate.
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. Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
  1. Can effectively deliver presentations to international clients.
  1. Builds working relationships with others across cultures.
  1. Applies knowledge of overseas markets.
  1. Respects individual differences.
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.