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 seek opportunities for professional development.
You seek opportunities for continuous learning.
You are contributing fully to the extent of your skills
You encourage employees to take courses relevant to their job.
You quickly acquire and apply new knowledge and skills when needed
Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You spend the most time and effort on critical tasks first.
You switch attention to more urgent tasks when necessary.
You recognize and respond to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
You can multitask while performing all of your other responsibilities and activities.
You begin tasks as soon as possible.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You inspire others to learn new things.
You embrace new technology and procedures.
You are open minded and curious about learning new skills.
You are open to feedback from others.
You exhibit willingness to upgrade skills through additional training and education.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You comply with regulatory requirements for the state.
You maintain a state of readiness to address new and changing regulations and procedures.
You interact with auditors and regulators on a professional basis.
You create and maintain necessary regulatory documentation.
You address issues quickly before they develop into major problems.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You respect the opinions of other employees.
You consistently demonstrate ability and willingness to trust others.
You are able to see issues from others' perspectives.
You work across boundaries within the organization.
You treat others with respect and dignity.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You monitor expenses and verify the need for items purchased.
You keep excellent records for financial transparency.
You ensure others follow the correct rules and regulations on fiscal matters.
You provide budgeting and accounting support to the Company.
You are effective in using company's resources.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You can effectively deliver presentations to international clients.
You are able to listen and understand others and discuss issues in a respectful way.
You cooperate with others on a global scale.
You communicate effectively on a multi-lingual basis.
You apply knowledge of overseas markets.

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.