360-degree feedback questionnaire
Dear Sir / Madam,
Please take a moment to fill in this 360-degree feedback questionnaire for “John Smith”.
1) What is your job role?
*
Individual contributor
People manager
Project manager
Director
Other:
2) Who you are in relation to this employee?
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Peer
Superior
Subordinate
None of the above
3) How often do you interact with this employee?
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Daily
Weekly
Couple of times per month
Irregularly
Never
4) How simple is it to get help from this employee when needed?
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Tremendously simple
Very simple
Somewhat simple
Not so simple
Not at all simple
5) How available to other employees is this employee?
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Always available
Often available
Sometimes available
Not so available
Not available at all
6) How reasonable are the choices made by this employee?
*
Tremendously reasonable
Very reasonable
Somewhat reasonable
Not so reasonable
Not reasonable at all
7) How often does this employee listen to other employees' opinions when making decisions?
*
Always
Often
Sometimes
Not so often
Never
8) How reliable is this employee?
*
Tremendously reliable
Very reliable
Somewhat reliable
Not so reliable
Not reliable at all
9) How effectively does this employee use company resources?
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Tremendously effectively
Very effectively
Somewhat effectively
Not so effectively
Not effectively at all
10) How effectively does this employee utilize his time?
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Tremendously effectively
Very effectively
Somewhat effectively
Not so effectively
Not effectively at all
11) How much attention to detail does this employee have?
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A great deal of attention
A lot of attention
A restrained amount of attention
A little attention
Not any attention at all
12) How often does this employee meet his/her deadlines?
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Always
Often
Sometimes
Not so often
Never
13) How well does this employee work with customers?
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Exceptionally well
Very well
Somewhat well
Not so well
Not at all well
14) How professionally does this employee behave?
*
Tremendously professionally
Very professionally
Somewhat professionally
Not very professionally
Not professionally at all
15) Overall, how effective is this employee at his/her job?
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Tremendously effective
Very effective
Somewhat effective
Not very effective
Not effective at all
16) How well does this employee handle criticism of his/her work?
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Exceptionally well
Very well
Somewhat well
Not so well
Not at all well
17) How quickly does this employee follow up on requests?
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Exceptionally quickly
Very quickly
Somewhat quickly
Not so quickly
Not at all quickly
18) How much do you trust that this employee has an ability to make the right decisions?
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To full extent
To large extent
To moderate extent
To little extent
Not at all
19) What is the impact of this employee on the work environment?
*
Very positive
Positive
Neutral
Negative
Very negative
20) How well does this employee work with others?
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Exceptionally well
Very well
Somewhat well
Not so well
Not at all well
21) How well does this employee solve problems independently?
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Exceptionally well
Very well
Somewhat well
Not so well
Not at all well
22) How proactive is this employee?
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Exceptionally proactive
Very proactive
Somewhat proactive
Not so proactive
Not at all proactive
23) How well does this employee adjust to changing priorities?
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Exceptionally well
Very well
Somewhat well
Not so well
Not at all well
24) In what areas where this employee is doing continuously well?
25) Are there any improvement areas for this employee?
26) How likely is it that you would recommend this employee to a colleague?
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10 (Virtually certain)
9
8
7
6
5
4
3
2
1
0 (Not likely at all)
*
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