Punctuality - 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Punctuality:
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)

You have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the assessment form, please think about your experiences working with this individual during the last six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Sample Result Document:
Sample Results
Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .


Agree Unsure Disagree N/A
  1. Starts the workday when scheduled.
  1. Starts meetings on time.
  1. Maintains an efficient schedule of activities.
  1. Conducts appointments at scheduled start time.
  1. Avoids making personal phone calls during working hours.

Cultural Awareness

Agree Unsure Disagree N/A
  1. Shows respect in daily interactions
  1. Fosters a diverse workforce free from discrimination and harassment.
  1. Treats others with dignity and respect.
  1. Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
  1. Encourages a work environment where individual differences are valued.

Supervisory Skills

Agree Unsure Disagree N/A
  1. Provides constructive, ongoing feedback.
  1. Treats all staff equitably.
  1. Maintains good working relationships with employees.
  1. Delegates effectively.
  1. Resolves personnel problems quickly and effectively.

Problem Solving

Agree Unsure Disagree N/A
  1. Is a good problem solver and decision maker
  1. Makes judgments based upon relevant information.
  1. Identifies and assesses all potential responses to a problem.
  1. Understands the root causes of problems.
  1. Effective in solving problems.

Results Oriented

Agree Unsure Disagree N/A
  1. Helps others when free-time is available.
  1. Inspires and motivates co-workers to be productive and energetic at work
  1. Works toward achievement of goals even when confronted with obstacles.
  1. Directs team in prioritizing daily work activities
  1. Explains the "whys" behind organizational objectives


Agree Unsure Disagree N/A
  1. Checks details thoroughly.
  1. Clarifies problems and their causes to help employees correct them.
  1. Uses appropriate grammar and tense in communications.
  1. Maintains clarity in goals and objectives.
  1. Makes sure goals and objectives are clearly and thoroughly explained and understood.


Agree Unsure Disagree N/A
  1. Seeks an understanding of diverse functions within the Company.
  1. Maintains infrastructure to support partnerships and networks.
  1. Supports a partnering/networking culture.
  1. Creates value within the Company by building networks.
  1. Collaborates with others to accomplish goals and objectives.

Conflict Management

Agree Unsure Disagree N/A
  1. Discusses conflict situations with supervisor.
  1. Helps employees to think through alternative ways to resolve conflict situations.
  1. Assists team members by helping them see the other point of view.
  1. Tries to understand others' point of view before making judgments
  1. Identifies and takes steps to prevent potential confrontations.


Agree Unsure Disagree N/A
  1. Can work effectively in an environment of uncertainty.
  1. Has a strategic awareness on how to promote the organization.
  1. Finds unique ways to go around barriers to success.
  1. Exhibits determination and passion in completion of goals.
  1. Able to adapt the department to changing business demands and climate.


Agree Unsure Disagree N/A
  1. Creates a common vision for others.
  1. Behaves in a way that is consistent with business values & code of conduct
  1. Demonstrates consistency between words and actions
  1. Works to support the strategy of [Company]
  1. Persuades others to follow the Company's vision.

  1. Overall, please rate the effectiveness of [Participant Name Here].

  2. Strengths

  3. Areas for Development

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