Professional Development - 360 Degree Feedback Survey Sample #3





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)
Survey 13 (4-point scale; numbers)
Survey 14 (4-point scale; N/A)
Self-Assessment Instructions

Leadership at [Company] are participating in a 360-Degree Feedback assessment. As part of this process, you need to complete a self-assessment questionnaire form. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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







Professional Development

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You are contributing fully to the extent of your skills
  1. You allow employees to fully participate in employee training and professional development.
  1. You keep yourself up-to-date of technical/professional issues
  1. You seek opportunities for continuous learning.
  1. You demonstrate enthusiasm and a willingness to learn new skills and knowledge
Please feel free to provide any comments to help explain your answers?

Emotional Intelligence

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You accurately perceive the emotional reactions of others.
  1. You are able to understand others' points of view.
  1. You are able to manage your own emotions.
  1. You are attentive to emotional cues and interprets others' feelings correctly.
  1. You are able to express yourself clearly.
Please feel free to provide any comments to help explain your answers?

Communication Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You speak clearly, fluently, and in a compelling manner to both individuals and groups.
  1. I discuss ideas and concepts with peers.
  1. I maintain an open-door policy to be available for answers and guidance when needed.
  1. You are an effective communicator
  1. I conduct impactful training sessions.
Please feel free to provide any comments to help explain your answers?

Action

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. I make decisions confidently and stand by them.
  1. You fixe problems when they occur.
  1. I conduct critical-incident reviews immediately after the event.
  1. I create innovative products and services.
  1. I fix small issues before they become critical incidents.
Please feel free to provide any comments to help explain your answers?

Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You make others feel enthusiastic about your work
  1. You are ready to offer help
  1. You keep staff informed about what is happening in the company
  1. You delegate tasks effectively
  1. You set an example for others to follow
Please feel free to provide any comments to help explain your answers?

Project Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You ensure resources are utilized at the appropriate levels for each phase of the project.
  1. You organize work and sets priorities as needed.
  1. I communicate with all employees involved on the project.
  1. I identify the source materials that will be needed.
  1. You accurately determine the number of staff needed for the project.
Please feel free to provide any comments to help explain your answers?

Problem Solving

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You identify fresh approaches and shows a willingness to question traditional assumptions.
  1. You understand the root causes of problems.
  1. You can develop innovative solutions to problems.
  1. I am skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
  1. You generate alternative solutions to problems and challenges.
Please feel free to provide any comments to help explain your answers?

Technology Use/Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You adopt the implementation of new technology into the workplace.
  1. You identify gaps between actual and needed technical competencies and provide recommendations for required training.
  1. You support employee training and development initiatives regarding implementation of technology.
  1. You support technical training and development of employees.
  1. You understand and are committed to implementing new technologies.
Please feel free to provide any comments to help explain your answers?

Partnering/Networking

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You collaborate with others to accomplish goals and objectives.
  1. I participate in roundtables or panel discussions to share insights and gain perspectives.
  1. You can perform a risk assessment to show a balanced view of the partnership’s potential outcomes.
  1. You identify partnerships with overseas companies to expand market opportunities.
  1. I promote teamwork across departments, encouraging information exchange, and setting common goals.
Please feel free to provide any comments to help explain your answers?

Global Perspective

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You consider customers point of view when making decisions.
  1. You understand global systems such as the global economy.
  1. You align personal vision with global strategies.
  1. You form strong client relationships with international partners.
  1. You facilitate open communication with individuals from other countries.
Please feel free to provide any comments to help explain your answers?

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






  2. Strengths


  3. Areas for Development


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