Continual Learning - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for participating in a 360-degree feedback assessment. In this process, you will complete a self-assessment questionnaire (below). You will also receive feedback from others including your manager, peers and direct reports. As you respond, please respond using just your experiences in the past 12 months. Rate each item using the scale shown. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to you at the conclusion of this assessment to help guide your ongoing professional development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Continual Learning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You take the initiative to learn new skills.
You are open to new ideas and concepts.
You pursue self-improvement through continual learning.
You pursue professional development opportunities when they arise.
You set relevant learning objectives and goals.
Self Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You step away from a situation to process appropriate response.
You deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
You use patience and self-control in working with customers and associates.
You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You encourage employees to take courses relevant to their job.
You seek opportunities for continuous learning.
You quickly acquire and apply new knowledge and skills when needed
You keep yourself up-to-date of technical/professional issues
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You start meetings on time.
You arrive to meetings on time.
You invoice clients on a timely basis.
You start the workday when scheduled.
You respond to requests for information in a timely manner.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I foster an environment that supports strong client focus.
You engage with clients on multiple levels.
I identify opportunities that enhance the client's experience.
You focus on the unique needs of each client.
I respond to feedback from clients.
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I assign tasks that allow employees to use their critical thinking skills.
I enable employees to take on more challenging roles.
I allow employees the opportunity to take time off when needed.
I recognize and reward employees who make important decisions and take action when necessary.
You distribute the workload to subordinates.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You readily share credit and gives others opportunity for visibility.
You recognize individuals for a specific outstanding achievement.
You say "thank you" to show appreciation for work of others.
You offer recognition in a timely manner.
You compliment other people when they do good work

36. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
37. Strengths
    
    
    
38. Areas for Development
    
    
    
39. Please give any final comments or suggestions for [Participant Name Here]'s assessment.