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

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Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You keep yourself up-to-date of technical/professional issues
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
You encourage employees to take courses relevant to their job.
You allow employees to fully participate in employee training and professional development.
You are contributing fully to the extent of your skills
Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You assess current capabilities before committing to new requests from customers.
You determine which tasks are critical and which tasks are optional.
You are aware of the deadlines for specific tasks/assignments.
You use a scheduler/planner to keep tasks organized and on time.
You begin tasks as soon as possible.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You stay up-to-date on emerging technologies.
You take advantage of training opportunities when they arise.
You are committed to enhancing your own knowledge and skills.
You enjoy learning new skills and techniques.
You demonstrate through personal behavior the commitment to high standards of performance.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I respond promptly to inquiries from regulatory bodies.
You maintain a state of readiness to address new and changing regulations and procedures.
I document the performance of compliance audits.
You are aware of federal and local laws affecting employees.
I strengthen employees' ability to appropriately handle compliance and ethics issues.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You treat others with respect and dignity.
You work effectively with people from other departments.
You consistently demonstrate ability and willingness to trust others.
You support the efforts of other employees in implementing solutions to problems.
You are able to see issues from others' perspectives.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You provide budgeting and accounting support to the Company.
You develop budgets and plans for various programs and initiatives.
You monitor spending.
You develop of the department's annual budget.
You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You cooperate with others on a global scale.
You are able to listen and understand others and discuss issues in a respectful way.
You understand global systems such as the global economy.
You collaborate with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
You are able to work with individuals having different backgrounds and cultures.

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.