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)

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.

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. Maintains an efficient schedule of activities.
  1. Starts the workday when scheduled.
  1. Conducts appointments at scheduled start time.
  1. Responds to requests for information in a timely manner.
  1. Invoices clients on a timely basis.

Cultural Awareness

Agree Unsure Disagree N/A
  1. Fosters a diverse workforce free from discrimination and harassment.
  1. Respects others regardless of age, race, gender, nationality, or disability.
  1. Encourages a work environment where individual differences are valued.
  1. Recognizes and values individual and cultural differences.
  1. Shows respect in daily interactions

Supervisory Skills

Agree Unsure Disagree N/A
  1. Is aware of the unique strengths of each employee.
  1. Promotes teamwork and cooperation within the department.
  1. Resolves personnel problems quickly and effectively.
  1. Maintains good working relationships with employees.
  1. Appropriately recognizes and rewards employees.

Problem Solving

Agree Unsure Disagree N/A
  1. Ability to develop innovative solutions to problems.
  1. Works cooperatively with others to solve problems.
  1. Solves problems using logic and insight.
  1. Able to balance the needs of different people in a solution to a problem.
  1. Ability to solve problems at root cause rather than at symptom level.

Results Oriented

Agree Unsure Disagree N/A
  1. Provides clear expectations for employees.
  1. Works toward achievement of goals even when confronted with obstacles.
  1. Encourages a high-energy, fun work environment and coaches others on how to do the same
  1. Does not become distracted by non-issues or interruptions.
  1. Stays focused on meeting the needs of customers.


Agree Unsure Disagree N/A
  1. Avoids creating ambiguity or mixed messages.
  1. Communicates ideas and facts clearly and effectively in writing.
  1. Clarifies problems and their causes to help employees correct them.
  1. Checks details thoroughly.
  1. Avoids stating unclear or conflicting goals.


Agree Unsure Disagree N/A
  1. Capitalizes on partnerships and networks to enhance the Company's bottom line.
  1. Seeks to reduce institutional roadblocks to information sharing.
  1. Supports a partnering/networking culture.
  1. Promotes the understanding of how the department affects the organization overall.
  1. Creates the conditions for partnerships to grow and develop.

Conflict Management

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


Agree Unsure Disagree N/A
  1. Finds unique ways to go around barriers to success.
  1. Encourages dynamic growth opportunities.
  1. Encourages risk taking for developing potential business opportunities.
  1. Has a strategic awareness on how to promote the organization.
  1. Excellent at managing relationships with stakeholders.


Agree Unsure Disagree N/A
  1. Leads employees in new directions.
  1. Creates a positive vision of the future for the Company.
  1. Clearly articulates a vision for his/her work and inspires others to support it
  1. Understands the vision of the Company and promotes it ahead of any self-interests.
  1. Communicates the vision and strategy of [Company]

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.