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 are contributing fully to the extent of your skills
  1. You seek opportunities for professional development.
  1. You quickly acquire and apply new knowledge and skills when needed
  1. You encourage employees to take courses relevant to their job.
  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 help employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. You are able to control your own emotions.
  1. You are able to understand others' points of view.
  1. You are attentive to emotional cues and interprets others' feelings correctly.
  1. You accurately perceive the emotional reactions of others.
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 coach others and provides feedback on the use of different oral communication styles for different audiences
  1. You have the confidence to communicate effectively to all levels (from ceo down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
  1. You listen to others' points of view with an open mind
  1. You communicate with department leadership
  1. You present issues, ideas, and strategy concisely and clearly.
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 fixe problems when they occur.
  1. I pursue goals with action to achieve success.
  1. I take the initiative and do not wait for the situation to change.
  1. I create opportunities and then take advantage of them.
  1. You change course to meet the needs of a new situation.
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 are ready to offer help
  1. You take responsibility for things that go wrong
  1. You make others feel enthusiastic about your work
  1. You set an example for others to follow
  1. You delegate tasks effectively
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. I hold meetings with supply-chain vendors regarding acquisition of resources.
  1. I engage with individuals internally and externally to support the implementation of the project.
  1. You establish the scope for the project.
  1. I identify potential risks that could pose challenges to the project timeline.
  1. You determine the project strategy for implementation.
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
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You are a good problem solver and decision maker
  1. You identify fresh approaches and shows a willingness to question traditional assumptions.
  1. You generate alternative solutions to problems and challenges.
  1. You work cooperatively with others to solve problems.
  1. You can develop innovative solutions to problems.
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
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Competency
Always
Exhibits this
Competency
  1. You understand and are committed to implementing new technologies.
  1. You adopt the implementation of new technology into the workplace.
  1. You maximize the use of new technology to deliver products and services.
  1. You identify gaps between actual and needed technical competencies and provide recommendations for required training.
  1. You are proficient in the use of technical systems and processes.
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 support and encourage relationships that are created by diverse team members.
  1. You build alliances between departments and teams.
  1. You capitalize on partnerships and networks to enhance the Company's bottom line.
  1. You promote the understanding of how the department affects the organization overall.
  1. You maintain infrastructure to support partnerships and networks.
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 are able to listen and understand others and discuss issues in a respectful way.
  1. You communicate effectively on a multi-lingual basis.
  1. You are able to work with individuals having different backgrounds and cultures.
  1. You volunteer for experiences and assignments abroad.
  1. You create an environment where individual differences are valued and supported.
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.