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 grasp new ideas, concepts, technical, or business knowledge.
You improve on your skill sets.
You are open to new ideas and concepts.
You share best practices with others and learn from others.
Self Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
You consciously control own negative emotions in order to keep team morale up.
You analyze interpersonal problems instead of reacting to them.
You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
You use patience and self-control in working with customers and associates.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You are contributing fully to the extent of your skills
You encourage employees to take courses relevant to their job.
You allow employees to fully participate in employee training and professional development.
You seek opportunities for professional development.
You seek opportunities for continuous learning.
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You invoice clients on a timely basis.
You start the workday when scheduled.
You conduct appointments at scheduled start time.
You avoid making personal phone calls during working hours.
You start meetings on time.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You look for opportunities that have a positive impact on Clients.
You ensure client commitments and requirements are met or exceeded
You are pro-active in dealing with clients and addressing your needs.
You obtain feedback to ensure client needs are being met.
You maintain strong relationships with clients.
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You provide support and resources needed to accomplish goals.
You demonstrate confidence in the abilities of subordinates.
You are aware of the skill levels of employees and assign tasks that are at the appropriate skill level.
You avoid micromanaging your employees.
You express confidence in the abilities of others.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You recognize the abilities and skills of self and others
You find opportunities to recognize others.
You say "thank you" to show appreciation for work of others.
You readily share credit and gives others opportunity for visibility.
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.