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)
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.

Competencies Included:
Professional Development, Emotional Intelligence, Communication Skills, Action, Management, Project Management, Problem Solving, Technology Use/Management, Partnering/Networking, Global Perspective
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 demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. You seek opportunities for professional development.
  1. You keep yourself up-to-date of technical/professional issues
  1. You allow employees to fully participate in employee training and professional development.
  1. You seek opportunities for continuous learning.
Please feel free to provide any comments to help explain your answers?

Emotional Intelligence

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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Exhibits this
Competency
  1. You accurately perceive the emotional reactions of others.
  1. You are able to control your own emotions.
  1. You are attentive to emotional cues and interprets others' feelings correctly.
  1. You are able to understand others' points of view.
  1. You help to make decisions and solve problems using knowledge about how others will react in certain situations.
Please feel free to provide any comments to help explain your answers?

Communication Skills

Does Not
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Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Competency
  1. You conduct regular performance feedback discussions with individuals and teams
  1. You use ideas and perspectives to persuade others.
  1. I notify others about developments in plans and goals.
  1. I transform complicated ideas into simple ones.
  1. I am willing to accept feedback from others.
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. You prepare equipment at the start of the shift.
  1. I conduct critical-incident reviews immediately after the event.
  1. You drive and mobilizes others progress toward goals.
  1. I overcome obstacles that may impede progress on a task.
  1. You get the job done.
Please feel free to provide any comments to help explain your answers?

Management

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Exhibits this
Competency
  1. You set an example for others to follow
  1. You are ready to offer help
  1. You delegate tasks effectively
  1. You take responsibility for things that go wrong
  1. You keep staff informed about what is happening in the company
Please feel free to provide any comments to help explain your answers?

Project Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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Competency
  1. You engage stakeholders and team members in open discussions.
  1. You understand the budget constraints for the project.
  1. I make sure all team members understand their roles.
  1. You keep accurate records regarding the costs of various aspects of the project.
  1. I schedule project phases and tasks to facilitate successful completion of 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
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Competency
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Competency
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Competency
  1. You are effective in solving problems.
  1. You are a good problem solver and decision maker
  1. You actively seek the root cause of a problem.
  1. You make judgments based upon relevant information.
  1. You identify fresh approaches and shows a willingness to question traditional assumptions.
Please feel free to provide any comments to help explain your answers?

Technology Use/Management

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Competency
  1. You understand and are committed to implementing new technologies.
  1. You apply complex rules and regulations to maintain optimal system performance.
  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 maximize the use of new technology to deliver products and services.
Please feel free to provide any comments to help explain your answers?

Partnering/Networking

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Competency
  1. I use networks of personal contacts to gain introductions to others who may have valuable information.
  1. I proactively address potential conflicts by identifying and resolving problems swiftly.
  1. I establish clear expectations at the start of a new partnership.
  1. I invest in other companies to form equity partnerships.
  1. I engage in collaborative training sessions or workshops to build skills across organizations.
Please feel free to provide any comments to help explain your answers?

Global Perspective

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
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Exhibits this
Competency
  1. You develop both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
  1. You demonstrate working knowledge of global transactions.
  1. You engage in problem solving with individuals outside of the country.
  1. You understand how cultures differ and how these differences impact work behavior.
  1. You form strong client relationships with international partners.
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.