Professional Development - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Professional Development:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Instructions:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going 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.

Competencies Included:
Professional Development, Integrity, Leadership, Delegation, Administrative Skill, Juggling Multiple Responsibilities, Excellence, Trustworthy, Customer Focus, Developing Others, Business Acumen, Fiscal Management
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team


Professional Development

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Seeks opportunities for professional development.
  1. Seeks opportunities for continuous learning.
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. Quickly acquire and apply new knowledge and skills when needed
If [Participant Name] were to make improvements in Professional Development, what are your suggestions for how he/she can improve this?

Integrity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Does what was promised.
  1. Demonstrates honesty and truthfulness at all times.
  1. Maintains strong relationships with others.
  1. Fosters an environment built upon trust.
If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Provides resources to enable individuals to develop professionally.
  1. Highly effective supervisor.
  1. Expresses clear goals and objectives.
  1. Gives direct, constructive, and actionable feedback.
If [Participant Name] were to make improvements in Leadership, what are your suggestions for how he/she can improve this?

Delegation

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Allows subordinates to use their own methods and procedures.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Tells subordinates what to do, not how to do it.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
If [Participant Name] were to make improvements in Delegation, what are your suggestions for how he/she can improve this?

Administrative Skill

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Takes responsibility for decisions.
  1. Accurately implements contract provisions.
  1. Completes reports on-time.
  1. Strong organizational skills to keep the workspace and department in order
If [Participant Name] were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?

Juggling Multiple Responsibilities

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Assigns tasks based on skills of team members.
  1. Begins tasks as soon as possible.
  1. Ensures that assignments are prioritized according to the needs of the department/company.
  1. Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?

Excellence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Keeps themselves and others focused on constant improvement.
  1. Is planful and organized.
  1. Takes a lot of pride in their work.
  1. Demonstrates the functional or technical skills necessary to do their job.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?

Trustworthy

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is a person you can trust.
  1. Works in a way that makes others want to work with her/him.
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Is trustworthy; is someone I can trust.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?

Customer Focus

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is committed to resolving customer issues in a positive way.
  1. Is competent in handling difficult customers.
  1. Creates an environment that enables customers to receive excellent service.
  1. Responds to feedback from customers.
If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?

Developing Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Encourages employees through recognition of positive changes in behavior.
  1. Assesses employees' developmental needs.
  1. Provides constructive feedback to others.
  1. Recognizes and celebrates accomplishments of others.
If [Participant Name] were to make improvements in Developing Others, what are your suggestions for how he/she can improve this?

Business Acumen

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Anticipates marketplace opportunities and supports speed to market.
  1. Understands financial terminology, statements.
  1. Aware of regulations that impact our business.
  1. Can effectively interpret and analyze data.
If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?

Fiscal Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Monitors spending.
  1. Provides budgeting and accounting support to the Company.
  1. Monitors expenses and verifies the need for items purchased.
If [Participant Name] were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.