Upward Feedback

Part 3 of 3
Post-Training Questionnaire

OVERVIEW & PURPOSE

The desired outcomes of this training intervention are to foster confident employees who are
prepared and willing to engage with their supervisors and managers honestly, respectfully, and
constructively. In addition, supervisors and managers will be able to respond in an appropriate
manner to absorb, reflect on, and utilize the feedback provided to them by their employees.

POST-TRAINING QUESTIONNAIRE
At the end of the training session, the facilitator will distribute a post-training questionnaire to
the audience to check the understanding of upward feedback, their comfort level about delivering
upward feedback to their supervisors, and their reaction to the training module.

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UPWARD FEEDBACK POST-TRAINING QUESTIONNAIRE

How comfortable are you with providing feedback to your supervisor?

1 – Not at all comfortable. Would not even try to give feedback.

2 – Slightly comfortable. If asked directly, I might give feedback.
3 – Moderately comfortable. I would give feedback to my supervisor if asked to do so.
4 – Comfortable. I would give feedback to my supervisor.
5 – Extremely comfortable. I have no problem giving feedback anytime.

How often do you plan to give feedback to your supervisor?

A. Never
B. 1 - 2 times per quarter
C. 3 - 4 times per quarter
D. 5 or more times per quarter

Please provide any additional comments, questions, or concerns:

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UPWARD FEEDBACK QUARTERLY EVALUATION
This questionnaire may also be adapted into a quarterly survey to determine the effectiveness of
this training program (i.e., skills have transferred to workplace).

QUARTERLY EVALUATION QUESTIONNAIRE

How comfortable are you with providing feedback to your supervisor?

1 – Not at all comfortable. Would not even try to give feedback.

2 – Slightly comfortable. If asked directly, I might give feedback.
3 – Moderately comfortable. I would give feedback to my supervisor if asked to do so.
4 – Comfortable. I would give feedback to my supervisor.
5 – Extremely comfortable. I have no problem giving feedback anytime.

How often have you given feedback to your supervisor in the past quarter?

A. Never
B. 1 - 2 times per quarter
C. 3 - 4 times per quarter
D. 5 or more times per quarter