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. Shows by their actions that they trust in the positive intentions of others.
  1. Is gracious and professional in their interactions with others.
  1. Builds open and trusting relationships.
  1. Treats all people fairly and with respect.
  1. Visibly supports and encourages diversity in style and background.
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. Adapts to new organizational structures, policies, or procedures.
  1. Implements changes as a result of having listened to employees
  1. Identifies new opportunities to achieve goals
  1. Can handle changes without complaining.
  1. Acts decisively in frequently changing and uncertain environment.
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. Creates a lot of new ideas.
  1. Develops solutions to challenging problems.
  1. Conceives, implements and evaluates ideas.
  1. Inspires creativity in their team.
  1. Is creative.
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. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Defines goals and objectives for subordinates.
  1. Entrusts subordinates with important tasks.
  1. Clearly defines duties and tasks to be completed.
  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. Completes work on a timely basis.
  1. Ranks tasks based on importance to maximize available time.
  1. Prioritizes major tasks over smaller ones.
  1. Effectively uses subordinates to help get more work done by the department.
  1. Tackles the biggest problems at the start of the day.
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. Consistently provides me with timely feedback for improving my performance.
  1. Organizes and schedules events, activities, and resources.
  1. Able to organize work.
  1. Works toward achieving established goals and objectives.
  1. Ability to establish realistic goals.
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. Strives to lead by example to demonstrate the value of interpersonal relationships.
  1. Gives good advice and suggestions to coworkers.
  1. Builds strong relationships with team members.
  1. Uses tact, compassion, and sensitivity in interactions with others.
  1. Respectful of the opinions and ideas 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. Supports client focused policies and procedures.
  1. Is competent in handling client cases.
  1. Adapts to changes proposed by the client.
  1. Able to handle difficult clients.
  1. Consistently exceeds client expectations.
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. Sets performance objectives for subordinates that encourages development opportunities.
  1. Creates a work environment that fosters positive feedback to employees.
  1. Encourages employees through recognition of positive changes in behavior.
  1. Assesses employees' developmental needs.
  1. Supports the successes of other employees.
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.