Performance Feedback Questionnaire

A Performance feedback questionnaire is a document that can be used to appraise the performance of a candidate or an employee from those who have worked with the employee closely and who has the ability to gauge the performance of the employee in a free and fair manner.

Sample Performance Feedback Questionnaire:

Name:                               _____________________________

Address:                    _____________________________

Phone Number:           _____________________________

Email address:                    _____________________________

Q1: How long have you worked with the employee?


Q2: Please mention the kind of performance during the duration of work with the employee?

a)   Good

b)   Average

c)   Poor

d)   Excellent

Q3: Please list down some of the skills that the employee possesses


Q4: Please rate the timely delivery skills of the employee

a)   Always before time

b)   Always on time

c)   Mostly on time

d)   Mostly late

e)   Always late

Q5: Do you notice useful management skills when you encounter this employee with regard to his personality and work?

a)   Yes

b)   No

c)   Needs improvement

Q6: Choose which among the following rightly describes the communication skills of the person?

a)   Excellent

b)   Good

c)   Satisfactory

d)   Needs improvement

e)   Nil

Q7: Do you think the candidate possesses good team skills?

a)   Yes

b)   No

Q8: What is your take on the type of responsibility that the employee is ready to take at any point of time?

a)   Choose to take up more responsibility and also delivers them

b)   Choose to take up more responsibility but cannot deliver them

c)   Performs his assigned responsibilities only

d)   Not able to perform even his responsibilities properly

Q9: Which of the following should be recommended to the employee?

a)   More training and development

b)   Firing

c)   Pay increment

d)   Promotion

e)   Demotion

f)    Others, please mention ____________________________________________

g)   None

Category: Feedback Questionnaire

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