Attitude - 360 Degree Feedback Survey Sample #10





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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

Sample Result Document:
Sample Results

Attitude

  • Contributes to a positive and fun work environment.
  • Treats all people fairly and with respect.
  • Visibly supports and encourages diversity in style and background.
  • Contributes to a positive work environment.
  • Works to eliminate unnecessary work or barriers that get in others' way.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?

Analytical

  • Balances risks and costs with the rewards and probabilities of success when decisions.
  • Asks the "right" questions to size up or evaluate situations.
  • Identifies problems and issues needing resolution.
  • Implements data validation techniques and methods.
  • Uses appropriate techniques to solve problems.
If [Participant Name] were to make improvements in Analytical, what are your suggestions for how he/she can improve this?

Technical

  • Willingly shares information and expertise; sought out as resource by others
  • Willingly shares his/her technical expertise; sought out as resource by others
  • Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  • Demonstrates mastery of the technical competencies required in his/her work.
  • Seeks information from others as needed.
If [Participant Name] were to make improvements in Technical, what are your suggestions for how he/she can improve this?

Interpersonal Skills

  • Recognizes when others do a good job.
  • Respectful of the opinions and ideas of others.
  • Is open and approachable
  • Demonstrates positive behaviors for others to follow.
  • Is trusted by peers and co-workers; others are willing to confide in him/her
If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?

Planning

  • Understands what equipment will be needed for the project.
  • Allows input from others for the 5-year plan.
  • Determines what supplies/equipment will be needed for the project.
  • Effectively uses logistics planning to reduce supply delays.
  • Divides complex tasks into smaller steps to measure progress toward a goal.
If [Participant Name] were to make improvements in Planning, what are your suggestions for how he/she can improve this?
Overall, please rate the effectiveness of [Participant Name Here].






Strengths


Areas for Development


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