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)

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

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 a great company.

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

Overall, please rate the effectiveness of .

5- Very Effective

4- Effective

3- Neither

2- Ineffective

1- Very Ineffective
Strengths
Areas for Development
Please give any final comments or suggestions for 's assessment.

Attitude	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Works to eliminate unnecessary work or barriers that get in others' way.
Builds open and trusting relationships.
Shows by their actions that they trust in the positive intentions of others.
Treats all people fairly and with respect.
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
Encourages others to adopt new procedures.
Implements changes as a result of having listened to employees
Adapts to new organizational structures, policies, or procedures.
Identifies new opportunities to achieve goals
Can handle changes without complaining.
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
Develops solutions to challenging problems.
Adds value to the department/organization.
Creates a lot of new ideas.
Inspires creativity in their team.
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
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Allows subordinates to use their own methods and procedures.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Tells subordinates what to do, not how to do it.
Defines the roles, responsibilities, required actions, and deadlines for team members.
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
Does not procrastinate.
Keeps and maintains a To-Do list.
Does not become flustered by deadlines and timelines.
Prioritizes new tasks according to their relative importance.
Sets clearly defined goals.
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
Able to organize work.
Organizes and schedules events, activities, and resources.
Sets long-term and short-term goals.
Consistently provides me with timely feedback for improving my performance.
Assures [Company] principles are understood, employed & pursued.
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
Strives for win/win solutions
Uses tact, compassion, and sensitivity in interactions with others.
Creates an atmosphere that supports the open expression of ideas
Applies appropriate communication techniques to the situation.
Values the opinions 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
Maintains strong relationships with clients.
Is pro-active in dealing with clients and addressing their needs.
Ensures client commitments and requirements are met or exceeded
Looks for opportunities that have a positive impact on Clients.
Forms strong client relationships
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
Encourages employees through recognition of positive changes in behavior.
Creates opportunities for professional development.
Provides constructive feedback to others.
Assesses employees' developmental needs.
Recognizes and celebrates accomplishments of others.
Please feel free to provide any comments to help explain your answers?