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360 DEGREE FEEDBACK

ORGANIZATIONAL CLIMATE

Place a tick ( ) in appropriate blank

Name: ________________________ Designation: _________________________

Company (Optional):__________________________

1. What is your Gender? Male Female

2. What is your Age?

18 or under 19 – 24 25 – 34 35 – 44 45 – 54

55 – 65 65 or more

3. What is your education?

Matriculation Intermediate Graduate Master PhD

4. I have worked for the company:

Less than one year 1 – 2 years 3 – 5 years 6 – 9 years 10 – 15 years

More than 15 years

5. What is your current job?

Top Management Middle Management Entry Level Management


360 Degree Feedback
Strongly Agree = 5, Agree = 4, Neutral = 3, Disagree =2, Strongly Disagree =1
FDS. The feedback from my peers in the 360-degree feedback program is an accurate reflection of
my work performance.
Strongly Agree Agree Neural Disagree Strongly Disagree

FDS1. The feedback from my direct reports in the 360-degree feedback program is an accurate
reflection of my work performance.
Strongly Agree Agree Neural Disagree Strongly Disagree

FDS2. Since receiving the 360-degree feedback, my company has given me the support I need to
address my development needs.
Strongly Agree Agree Neural Disagree Strongly Disagree

FDS3. My leadership has improved since receiving 360-degree feedback.


Strongly Agree Agree Neural Disagree Strongly Disagree

FDS4. I have improved my interpersonal skills since I received 360-degree feedback.


Strongly Agree Agree Neural Disagree Strongly Disagree

FDS5. Overall, I have improved my work performance since receiving 360-degree feedback.
Strongly Agree Agree Neural Disagree Strongly Disagree

OCT. My supervisor is not likely to give me bad advice.


Strongly Agree Agree Neural Disagree Strongly Disagree

OCT1. My supervisor has a lot of integrity.


Strongly Agree Agree Neural Disagree Strongly Disagree

OCT2. My supervisor follows through on commitment made to me.


Strongly Agree Agree Neural Disagree Strongly Disagree

OCT3. My supervisor is the kind of person I can level with trust.


Strongly Agree Agree Neural Disagree Strongly Disagree

OCT4. I can count on my supervisor to keep things I tell him or her confidential.
Strongly Agree Agree Neural Disagree Strongly Disagree

OCS. My supervisor is behind me 100 percent.


Strongly Agree Agree Neural Disagree Strongly Disagree

OCS1. My supervisor backs me up and lets me learn from my mistakes.


Strongly Agree Agree Neural Disagree Strongly Disagree

OCS2. My supervisor is easy to talk to about work-related problems.


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OCS3. My supervisor is interested in getting me ahead in the company.


Strongly Agree Agree Neural Disagree Strongly Disagree

OCI. My supervisor encourages me to improve on the way they do things.


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OCII. My supervisors encourage me to find new ways around old problems.


Strongly Agree Agree Neural Disagree Strongly Disagree

OCI2. My supervisor encourages me to develop my idea.


Strongly Agree Agree Neural Disagree Strongly Disagree

OCA. I make most of the decisions that affect the way I do my work.
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OCA1. I organize my work as I see best.


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OCA2. I set the performance standards for my work.


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OCF. My supervisor is not likely to give a hard time


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OCF1. I can count on fair deal from my supervisor.


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OCF2. If my supervisor gives someone ‘a reprimand’ the person probably deserved it.
Strongly Agree Agree Neural Disagree Strongly Disagree

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