hr-survey.com

Attitude - 360 Degree Feedback Survey Sample #6





360-Degree Assessment Survey

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)
Dear Employee:

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. 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 aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

Sample Result Document in PDF format:
360-Feedback Results (pdf)
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.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. If you have any questions about the process please contact [Contact Person].

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

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team



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Attitude

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Is gracious and professional in their interactions with others.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Builds open and trusting relationships.
  1. Visibly supports and encourages diversity in style and background.
  1. Contributes to a positive and fun work environment.


Accountability

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Reviews performance to determine areas for improvement.
  1. Able to complete required tasks on time and delivered expected results.
  1. Informs the supervisor if progress on the task has been delayed.
  1. Takes ownership of mistakes and learns from them.
  1. Works to achieve established goals.


Integrity

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Follows tasks to completion.
  1. Demonstrates honesty and truthfulness at all times.
  1. Establishes relationships of trust, honesty, fairness, and integrity.
  1. Demonstrates sincerity in actions with others.
  1. Accepts responsibility for mistakes.


Punctuality

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Maintains an efficient schedule of activities.
  1. Invoices clients on a timely basis.
  1. Starts meetings on time.
  1. Avoids making personal phone calls during working hours.
  1. Starts the workday when scheduled.


Change Management

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Inspires others to accept changes.
  1. Effective in implementing new organizational vision and values.
  1. Facilitates change with minimal resistance.
  1. Develops a strategy for implementing changes.
  1. Inspires others to want to change.


Safety

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Encourages others to work safely.
  1. Mitigates hazards and safety issues that arise.
  1. Supports our company's safety programs.
  1. Develops a culture of safety.
  1. Identifies predictable hazards in the workplace.


Responsible

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Sets a good example.
  1. Is a person you can trust.
  1. Completes assigned work tasks.
  1. Behavior is ethical and honest.
  1. Sets high personal standards of performance.


Conflict Management

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Seeks to maintain positive relationships with coworkers.
  1. Addresses contentious issues earlier rather than later.
  1. Able to settle disputes equitably.
  1. Persuades others to accept ideas that may be difficult and uncomfortable.
  1. Persuades individuals to alter their underlying work behaviors which may have led to the conflict.



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






  2. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  3. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


  4. Additional comments, if any for [Participant Name Here]'s assessment.