Attitude - 360 Degree Feedback Survey Sample #11

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.

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


What does Attitude mean?
It means that ...
  • You contribute to a positive work environment.
  • You show by your actions that you trust in the positive intentions of others.
  • You build open and trusting relationships.
  • You visibly support and encourages diversity in style and background.
  • You treat all people fairly and with respect.

To what extent does this person exhibit Attitude?
Select from one of the ratings below.

Project Management

What does Project Management mean?
It means that ...
  • You work with customers and clients to assess their needs and define project parameters.
  • You organize, plan, and direct resources to accomplish the goals and objectives.
  • You define project outcomes based on customer requirements.
  • You anticipate potential problems and institute controls and contingency plans to address them.
  • You develop performance measures for various aspects of the project.

To what extent does this person exhibit Project Management?
Select from one of the ratings below.

Technology Use/Management

What does Technology Use/Management mean?
It means that ...
  • You are proficient in the use of technical systems and processes.
  • You use technology in decision making and problem solving.
  • You understand and are committed to implementing new technologies.
  • You support employee training and development initiatives regarding implementation of technology.
  • You identify gaps between actual and needed technical competencies and provide recommendations for required training.

To what extent does this person exhibit Technology Use/Management?
Select from one of the ratings below.


What does Coaching mean?
It means that ...
  • You develop the skills and capabilities of others.
  • You meet regularly with employees to coach them on areas that will enhance your performance
  • You provide clear, motivating, and constructive feedback.
  • You conduct regular performance appraisals and feedback.
  • You help employees to maintain high personal standards.

To what extent does this person exhibit Coaching?
Select from one of the ratings below.

Strategic Insight

What does Strategic Insight mean?
It means that ...
  • You maintain knowledge of current trends in the industry.
  • You analyze unique issues or problems impacting the Company.
  • You formulate strategies and action plans to ensure successful completion of goals and objectives.
  • You understand the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
  • You create strategies that significantly benefit the Company.

To what extent does this person exhibit Strategic Insight?
Select from one of the ratings below.

Areas for Development

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