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

  • 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.
  • Contributes to a positive and fun work environment.
  • Is gracious and professional in their interactions with others.
  • Treats all people fairly and with respect.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Analytical

  • Prioritizes various actions to be taken when solving a problem.
  • Implements data validation techniques and methods.
  • Identifies problems and issues needing resolution.
  • Identifies opportunities for progress and innovation.
  • Identifies the root cause of a problem.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Juggling Multiple Responsibilities

  • Spends the most time and effort on critical tasks first.
  • Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
  • Assigns tasks based on skills of team members.
  • Uses a scheduler/planner to keep tasks organized and on time.
  • Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Managing Risk

  • Evaluates risks against acceptable risk levels.
  • Aware of appropriate actions to minimize risks.
  • Improves process safety where possible.
  • Maintains open communication with other departments.
  • Perceives the risks of different work tasks and activities.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Coaching

  • Helps employees to understand responsibilities, authority, and expectations.
  • Coaches employees in how to strengthen knowledge and skills to improve work performance.
  • Meets regularly with employees to coach them on areas that will enhance their performance
  • Provides clear, motivating, and constructive feedback.
  • Conducts regular performance appraisals and feedback.
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.