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

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Continual Learning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You share best practices with others and learn from others.
You pursue learning that will enhance job performance.
You pursue professional development opportunities when they arise.
You take charge of your training and skills enhancement.
You participate in regular training offered.
Self Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You consciously control own negative emotions in order to keep team morale up.
You use patience and self-control in working with customers and associates.
You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
You step away from a situation to process appropriate response.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You allow employees to fully participate in employee training and professional development.
You are contributing fully to the extent of your skills
You seek opportunities for professional development.
You keep yourself up-to-date of technical/professional issues
You quickly acquire and apply new knowledge and skills when needed
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You conduct appointments at scheduled start time.
You respond to requests for information in a timely manner.
You avoid making personal phone calls during working hours.
You invoice clients on a timely basis.
You start meetings on time.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You deliver high quality products to the client.
You maintain strong relationships with clients.
You ensure clients are comfortable with the services provided.
I provide a responsive service that meets the needs of clients.
You are above average in addressing the needs of the clients.
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I acknowledge and appreciate employees for their proactive decision-making.
I value the opinions of others.
I establish goals that allow employees top operate independently in the field.
You are aware of the skill levels of employees and assign tasks that are at the appropriate skill level.
I encourage employees to take on greater responsibilities.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You reinforce and reward employees for accomplishing necessary goals.
You say "thank you" to show appreciation for work of others.
You let employees know when they have done well
You recognize team members who offer a significant contribution to a project.
You are sincerely interested in the suggestions of co-workers

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.