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 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.
You quickly acquire and apply new knowledge and skills when needed
Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You determine which tasks are critical and which tasks are optional.
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.
You can multitask while performing all of your other responsibilities and activities.
You spend the most time and effort on critical tasks first.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You take initiative for own learning and development.
You embrace new technology and procedures.
You constantly enhance product knowledge through experimentation and play.
You are open to feedback from others.
You are open minded and curious about learning new skills.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I develop compliance reports to share with stakeholders.
I develop the appropriate incentives (or disincentives) for regulatory compliance.
I effectively manage a department of compliance officers.
I ensure appropriate followup for regulatory violations.
You offer training on various subjects to help ensure employees are aware of regulations.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You constructively receive criticism and suggestions from others.
You are able to see issues from others' perspectives.
You treat others with respect and dignity.
You support the efforts of other employees in implementing solutions to problems.
You include others in the decision making processes.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You monitor expenses and verify the need for items purchased.
You monitor spending.
You are effective in using company's resources.
You ensure others follow the correct rules and regulations on fiscal matters.
You keep excellent records for financial transparency.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You create an environment where individual differences are valued and supported.
You exemplify the skills of a global worker.
You apply knowledge of overseas markets.
You collaborate with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
You align personal vision with global strategies.

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.