Personal Feedback Questionnaire

Personal feedback questionnaires are used for self assessment by a person in order to know about the habits that person has in his/her daily life. These questionnaires are to be filled by oneself and the questions are mostly related to a person’s life which helps them to regulate his/her life in a better way.

These questionnaires are based on working habits and behavioral aspects of that person. They are used in various cases such as, in schools, the students are asked to fill such questionnaires so that a teacher can know about the student’s habits. In other cases people who are dealing with stress problems may themselves prepare such questionnaire and fill it.

Sample Personal Feedback Questionnaire:

Name of the person filling the questionnaire: ____________________

Age: ___________

Gender: M___________ F___________

Q1. Rate your own self from 1 to 10 for the following categories, 1 being least and 10 being the highest score?

a)      I like to wake up early in the morning ________________

b)      I exercise regularly in order to keep myself healthy_________________

c)      I reach my work place on time ________________

d)     I do my laundry regularly ______________

e)      I cook my own food ________________

f)       I like to communicate with others _______________

g)      I always pray before going to bed at night ______________

Q2. Are you satisfied with the work you do?

  • Yes
  • No

Q3.Do you like your workplace?

  • Yes
  • No

Q4.Are you comfortable in the environment you work?

  • Yes
  • No

Q5.Do you like the colleagues with whom you are working with?

  • Yes
  • No

Q6.Choose one category from the following which suits you the best:

  • I am highly organized while working
  • I try to complete my work on time
  • I am not able to submit my work on time
  • I am not very organized while working

Category: Feedback Questionnaire

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