Professional Development - 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

Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You keep yourself up-to-date of technical/professional issues
You are contributing fully to the extent of your skills
You allow employees to fully participate in employee training and professional development.
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
You seek opportunities for professional development.
Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You assign tasks based on skills of team members.
You prioritize tasks for efficiency.
You rank the importance of tasks to make sure critical tasks are completed first.
You integrate developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
You switch attention to more urgent tasks when necessary.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You are open to feedback from others.
You enjoy learning new skills and techniques.
You are open minded and curious about learning new skills.
You are committed to enhancing your own knowledge and skills.
You demonstrate a willingness to participate in continuing education courses.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You maintain a state of readiness to address new and changing regulations and procedures.
You maintain historical records and documents as needed/required.
You are professional and courteous in interactions with auditors and regulators.
You are familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
You ensure regulations are followed as required.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You are able to see issues from others' perspectives.
You work across boundaries within the organization.
You form working relationships with employees from other departments.
You support the efforts of other employees in implementing solutions to problems.
You work effectively with people from other departments.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You develop of the department's annual budget.
You develop budgets and plans for various programs and initiatives.
You monitor spending.
You provide budgeting and accounting support to the Company.
You keep excellent records for financial transparency.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You understand how cultures differ and how these differences impact work behavior.
You are able to work with individuals having different backgrounds and cultures.
You understand and appreciate the perspectives offered by others with different cultural backgrounds.
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.
You can effectively deliver presentations to international clients.

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.