Attitude - 360 Degree Feedback Survey Sample #3





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 asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Attitude, Flexibility, Creativity, Delegation, Time Management, Objectives, Interpersonal Skills, Client Focus, Developing Others
Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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






Attitude

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Visibly supports and encourages diversity in style and background.
  1. Treats all people fairly and with respect.
  1. Builds open and trusting relationships.
  1. Contributes to a positive work environment.
Please feel free to provide any comments to help explain your answers?

Flexibility

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Fosters a culture of agility, ensuring that the team can thrive amidst constant change and uncertainty.
  1. Able to increase output to meet increased demand.
  1. Creates personalized training schedules, offering various learning formats (like virtual and in-person sessions), and provides tailored training resources.
  1. Agile and versatile when dealing with issues.
  1. Demonstrates flexibility in thoughts and actions.
Please feel free to provide any comments to help explain your answers?

Creativity

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Is creative.
  1. Is creative and inspirational.
  1. Creates a lot of new ideas.
  1. Adds value to the department/organization.
  1. Develops solutions to challenging problems.
Please feel free to provide any comments to help explain your answers?

Delegation

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Clearly defines duties and tasks to be completed.
  1. Assigns tasks to create learning opportunities for the employees.
  1. Allows subordinates to use their own methods and procedures.
  1. Defines goals and objectives for subordinates.
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Please feel free to provide any comments to help explain your answers?

Time Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Implements automation wherever possible.
  1. Uses limited time efficiently.
  1. Reacts promptly to inquiries from customers/clients.
  1. Accurately captures time across various tasks.
  1. Delegates as many repetitive tasks as possible to maximize the amount of work being done.
Please feel free to provide any comments to help explain your answers?

Objectives

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Works toward achieving established goals and objectives.
  1. Sets long-term and short-term goals.
  1. Consistently provides me with timely feedback for improving my performance.
  1. Communicates goals and objectives to employees.
  1. Organizes and schedules events, activities, and resources.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Appreciates the extra efforts made by coworkers.
  1. Builds a strong rapport with co-workers.
  1. Assists those in the department who need help in meeting performance metrics.
  1. Easily approachable.
  1. Recognizes the contributions of others.
Please feel free to provide any comments to help explain your answers?

Client Focus

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Uses feedback from clients to help improve services.
  1. Understands the needs of the client.
  1. Prioritizes client issues to tackle the most pressing needs first.
  1. Sets an example for excellent client relations.
  1. Promptly responds to clients.
Please feel free to provide any comments to help explain your answers?

Developing Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Creates a work environment that fosters positive feedback to employees.
  1. Assesses employees' developmental needs.
  1. Tries to ensure employees are ready to move to the next level.
  1. Recognizes and celebrates accomplishments of others.
  1. Is open to receiving feedback.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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