360-Degree Appraisal Questionnaire + Sample Survey Template

360-degree appraisal questionnaire is used to record appraisal feedback for employees. This survey template can be used by supervisors, managers, colleagues to provide feedback to an employee and the employee can also fill in this questionnaire. The responses can be compared to draw common consensus. This sample survey template can be customized according to the organizational needs.

1. Considering your overall experience based on the appraisal system, how likely are you to refer friends/family to the organization?
Very Unlikely
Very Likely
2. Please choose the most appropriate response to the following statements
Strongly disagree
Strongly agree
The employee is flexible in approaching obstacles
Is able to function effectively even if things are chaotic
Adjusts to the situations effectively
Is good at multi-tasking
Is quick to admit to mistakes
Acts fair with no favoritism
Is committed to the continuous development of the team
Respects and values individuality
Is adaptable to changing circumstances
Remains productive while adapting to changes
Strongly disagree
Strongly agree
Successfully leads other team members through the change
Takes the responsibility to effectively communicate change
Actively contributes to the success of the organization
Builds appropriate association with stakeholders
Facilitates an environment of collaboration
Encourages effective work relationships
Communicates in a clear manner
Encourages open communication
Prefers dialogues and not monologues
Sense of urgency if any is communicated accordingly
Strongly disagree
Strongly agree
Clearly conveys deadlines to the staff
Gives due credit to the responsible person
Connects organizational value with work
Encourages work-life balance at work
Treats colleagues with respect
Is honest and inclusive
Is respectful of gender and cultural differences
Values commitments at work
Please provide any additional feedback

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Need a longer questionnaire? Check out Exit Interview Questions (Long Template)