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. Invoices clients on a timely basis.
  1. Responds to requests for information in a timely manner.
  1. Conducts appointments at scheduled start time.
  1. Starts meetings on time.
  1. Arrives to meetings on time.

Cultural Awareness

Agree Unsure Disagree N/A
  1. Fosters a diverse workforce free from discrimination and harassment.
  1. Seeks opportunities to learn about the other cultural backgrounds of colleagues.
  1. Engages with individuals that have different cultural backgrounds.
  1. Recognizes and values individual and cultural differences.
  1. Open to learning about different cultures.

Supervisory Skills

Agree Unsure Disagree N/A
  1. Recognizes when employees have completed major milestones.
  1. Follows the company standard procedures for allocating assignments.
  1. Is sought after for advice in a variety of situations.
  1. Values the opinions of subordinates.
  1. Provides direction and coaching to employees.

Problem Solving

Agree Unsure Disagree N/A
  1. Able to balance the needs of different people in a solution to a problem.
  1. Solves problems using logic and insight.
  1. Effective in solving problems.
  1. Identifies and assesses all potential responses to a problem.
  1. Works cooperatively with others to solve problems.

Results Oriented

Agree Unsure Disagree N/A
  1. Does not become distracted by non-issues or interruptions.
  1. Stays focused on meeting the needs of customers.
  1. Provides clear expectations for employees.
  1. Helps others when free-time is available.
  1. Encourages a high-energy, fun work environment and coaches others on how to do the same


Agree Unsure Disagree N/A
  1. Makes sure employees understand why they were given certain assignments.
  1. Clarifies problems and their causes to help employees correct them.
  1. Adjusts communication methods to the needs of the audience.
  1. Attends to the important details of a job or task.
  1. Writes clear job descriptions for positions in the organization.


Agree Unsure Disagree N/A
  1. Creates value within the Company by building networks.
  1. Collaborates with others to accomplish goals and objectives.
  1. Seeks to reduce institutional roadblocks to information sharing.
  1. Creates the conditions for partnerships to grow and develop.
  1. Partners with peers to obtain influence within the Company.

Conflict Management

Agree Unsure Disagree N/A
  1. Tries to understand others' point of view before making judgments
  1. Deals effectively with employee grievances.
  1. Identifies and takes steps to prevent potential confrontations.
  1. Helps employees to think through alternative ways to resolve conflict situations.
  1. Discusses conflict situations with supervisor.


Agree Unsure Disagree N/A
  1. Able to adapt the department to changing business demands and climate.
  1. Understands the processes and various stages of business development.
  1. Excellent at managing relationships with stakeholders.
  1. Balances risks and rewards when making decisions.
  1. Takes the initiative to complete tasks.


Agree Unsure Disagree N/A
  1. Behaves in a way that is consistent with business values & code of conduct
  1. Demonstrates consistency between words and actions
  1. Leads employees in new directions.
  1. Communicates the vision and strategy of [Company]
  1. Understands the vision of the Company and promotes it ahead of any self-interests.

  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.