Punctuality - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

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)

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.


  • Arrives to meetings on time.
  • Avoids making personal phone calls during working hours.
  • Responds to requests for information in a timely manner.
  • Invoices clients on a timely basis.
  • Conducts appointments at scheduled start time.
If [Participant Name] were to make improvements in Punctuality, what are your suggestions for how he/she can improve this?


  • Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
  • Works effectively in dynamic and changing work environments.
  • Is proactive and takes steps to prepare for changes in the workplace.
  • Flexible and open to new ideas and encourages others to value change.
  • Develops insights and applies innovative solutions to projects and problems.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?

Persuasion and Influence

  • Able to express own goals and needs.
  • Attempts to persuade others rather than simply control them.
  • Understanding what others need.
  • Develops a good rapport with others.
  • Seeks to obtain consensus or compromise.
If [Participant Name] were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?

Decision Making

  • Is able to make decisions quickly.
  • Asks for additional information when making critical decisions.
  • Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
  • Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
  • Exercises good judgment by making sound and informed decisions.
If [Participant Name] were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?


  • Anticipates obstacles and ways to overcome them.
  • Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
  • Able to look ahead (beyond the present) when addressing the work/needs of the department.
  • Works in an organized manner
  • Delegates role to team members to accomplish goals.
If [Participant Name] were to make improvements in Planning, what are your suggestions for how he/she can improve this?
Overall, please rate the effectiveness of [Participant Name Here].


Areas for Development

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