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.

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.
  • Is gracious and professional in their interactions with others.
  • Works to eliminate unnecessary work or barriers that get in others' way.
  • Shows by their actions that they trust in the positive intentions of others.
  • Builds open and trusting relationships.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Analytical

  • Identifies the root cause of a problem.
  • Identifies problems and issues needing resolution.
  • Analyzes data and information from several sources and arrives at logical conclusions.
  • Analyzes issues and reduces them to their component parts.
  • Prioritizes various actions to be taken when solving a problem.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Juggling Multiple Responsibilities

  • Can multitask while performing all of their other responsibilities and activities.
  • Ranks the importance of tasks to make sure critical tasks are completed first.
  • Assigns tasks based on skills of team members.
  • Assesses current capabilities before committing to new requests from customers.
  • Organizes tasks for the most efficient order of completion.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Managing Risk

  • Recognizes the potential impact of systemic risks.
  • Minimizes the increase in costs due to global events or supply chain issues.
  • Is aware of the financial implications of certain risks.
  • Increases business resilience.
  • Quantifies current business practices to make better informed decisions.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Coaching

  • Helps employees to understand responsibilities, authority, and expectations.
  • Provides clear, motivating, and constructive feedback.
  • Helps employees to maintain high personal standards.
  • Coaches employees in how to strengthen knowledge and skills to improve work performance.
  • Develops the skills and capabilities of others.
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.