Attitude - 360 Degree Feedback Survey Sample #12





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)
Instructions

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.

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

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


Attitude

  • Treats all people fairly and with respect.
  • Builds open and trusting relationships.
  • Shows by their actions that they trust in the positive intentions of others.
  • Visibly supports and encourages diversity in style and background.
  • Contributes to a positive work environment.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Analytical

  • Asks the "right" questions to size up or evaluate situations.
  • Identifies problems and issues needing resolution.
  • Uses appropriate techniques to solve problems.
  • Analyzes data and information from several sources and arrives at logical conclusions.
  • Identifies opportunities for progress and innovation.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Juggling Multiple Responsibilities

  • Ensures that assignments are prioritized according to the needs of the department/company.
  • Assesses current capabilities before committing to new requests from customers.
  • Ranks the importance of tasks to make sure critical tasks are completed first.
  • Determines which tasks are critical and which tasks are optional.
  • Can multitask while performing all of their other responsibilities and activities.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Managing Risk

  • Uses risk management to make better strategic decisions.
  • Is knowledgeable of standard risk management principles.
  • Performs a risk analysis as needed.
  • Minimizes operational setbacks and delays.
  • Tracks and monitors incidents that may increase the risk of adverse consequences.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Coaching

  • Provides clear, motivating, and constructive feedback.
  • Conducts regular performance appraisals and feedback.
  • Helps employees to understand responsibilities, authority, and expectations.
  • Develops the skills and capabilities of others.
  • Meets regularly with employees to coach them on areas that will enhance their performance
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:
Strengths


Areas for Development


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