Feedback Receptiveness Survey
Help us understand your attitudes and behaviors towards receiving feedback. Your responses will remain confidential and are valuable for improving communication and development.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
How much do you agree with the following statements about receiving feedback?
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I welcome feedback from others.
1
2
3
4
5
I actively seek feedback to improve myself.
6
7
8
9
10
I feel comfortable receiving constructive criticism.
11
12
13
14
15
I reflect on feedback before responding.
16
17
18
19
20
I use feedback to make positive changes.
21
22
23
24
25
How would you rate your overall openness to receiving feedback?
*
1
2
3
4
5
Which type of feedback do you find most helpful?
*
Written feedback
Verbal feedback (face-to-face)
Verbal feedback (virtual/phone)
Group feedback
Anonymous feedback
Other
How frequently do you receive feedback in your current environment?
*
Very frequently
Frequently
Occasionally
Rarely
Never
How do you typically respond to feedback that you disagree with?
*
I ask for clarification and discuss it
I reflect on it privately
I ignore it
I feel defensive
Other
In which situations do you find it most difficult to receive feedback? (Select all that apply)
*
In front of others
From a supervisor or manager
From a peer
When feedback is critical
When feedback is vague
Other
Have you ever made a positive change based on feedback you received?
*
Yes, often
Yes, sometimes
Rarely
Never
What do you find most challenging about receiving feedback?
Please share any suggestions for making feedback more effective in your environment.
Submit Feedback
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