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 improve on your skill sets.
You seek opportunities to grow in skills and knowledge.
You are open to new ideas and concepts.
You pursue self-improvement through continual learning.
You pursue professional development opportunities when they arise.
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 deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
You do not allow own emotions to interfere with the performance of others.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You seek opportunities for continuous learning.
You seek opportunities for professional development.
You quickly acquire and apply new knowledge and skills when needed
You are contributing fully to the extent of your skills
You keep yourself up-to-date of technical/professional issues
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You arrive to meetings on time.
You start the workday when scheduled.
You start meetings on time.
You maintain an efficient schedule of activities.
You respond to requests for information in a timely manner.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You anticipate potential obstacles to meeting client needs.
You prioritize the needs and preferences of the client.
You are aware of the client's needs.
You focus on providing excellent client service.
You have excellent communication with clients.
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I encourage independent, original thinking and creative problem-solving.
You let employees complete tasks according to their methods.
I allow employees the opportunity to take time off when needed.
I assign important tasks to subordinates.
You create opportunities for employees to exercise their independence.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You make people around them feel appreciated and valued.
You reinforce and reward employees for accomplishing necessary goals.
You offer recognition in a timely manner.
You compliment other people when they do good work
You recognize the abilities and skills of self and others

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.