Attitude - 360 Degree Feedback Survey Sample #9

360 Feedback 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)

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing 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.


Definite Strength Meets Standards Needs Development N/A
  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.
  1. Contributes to a positive work environment.


Definite Strength Meets Standards Needs Development N/A
  1. Is someone you can trust.
  1. Takes responsibility for results.
  1. Can be counted on to do what they say they are going to do.
  1. Is aware of problems or issues that may affect the organization.
  1. Acts like an owner when they make decisions.


Definite Strength Meets Standards Needs Development N/A
  1. Follows tasks to completion.
  1. Protects the integrity and confidentiality of information
  1. Accepts responsibility for mistakes.
  1. Does what was promised.
  1. Fosters an environment built upon trust.


Definite Strength Meets Standards Needs Development N/A
  1. Actively seeks feedback from others.
  1. Is easy to approach with ideas and opinions.
  1. Seeks feedback to enhance performance.
  1. Accepts the views of others.
  1. Open to the suggestions of others.

Emotional Intelligence

Definite Strength Meets Standards Needs Development N/A
  1. Accurately perceives the emotional reactions of others.
  1. Is able to express themselves clearly.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Is able to control their own emotions.
  1. Is able to manage their own emotions.

Project Management

Definite Strength Meets Standards Needs Development N/A
  1. Regularly reviews project performance and goals.
  1. Anticipates potential problems and institutes controls and contingency plans to address them.
  1. Maintains costs and expenses within budget limits.
  1. Defines project outcomes based on customer requirements.
  1. Works with customers and clients to assess their needs and define project parameters.


Definite Strength Meets Standards Needs Development N/A
  1. Finds creative ways to get things done with limited resources.
  1. Creates a safe environment for idea-sharing.
  1. Takes risks to advance important ideas.
  1. Fosters a creative and innovative work environment.
  1. Encourages open communication to ensure that all proposals are considered.


Definite Strength Meets Standards Needs Development N/A
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Willingly shares information and expertise; sought out as resource by others
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
  1. Knows how to produce high quality products/work.

Developing Others

Definite Strength Meets Standards Needs Development N/A
  1. Is open to receiving feedback.
  1. Recognizes and celebrates accomplishments of others.
  1. Encourages employees through recognition of positive changes in behavior.
  1. Assigns tasks and responsibilities to develop skills of others.
  1. Assesses employees' developmental needs.


Definite Strength Meets Standards Needs Development N/A
  1. Behaves in a way that is consistent with business values & code of conduct
  1. Expresses the Company vision in a way that is easily understood and adopted by employees.
  1. Demonstrates consistency between words and actions
  1. Communicates the vision and strategy of [Company]
  1. Persuades others to follow the Company's vision.

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

  2. Strengths

  3. Areas for Development

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