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 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 seek opportunities for professional development.
You keep yourself up-to-date of technical/professional issues
Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You switch attention to more urgent tasks when necessary.
You are aware of the deadlines for specific tasks/assignments.
You coordinate the work of a team by assigning tasks to other team members.
You integrate developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
You organize tasks for the most efficient order of completion.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You are open to feedback from others.
You are committed to enhancing your own knowledge and skills.
You constantly enhance product knowledge through experimentation and play.
You will participate in training classes even if offered outside of normal working hours.
You take advantage of training opportunities when they arise.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You work quickly to implement changes in regulations.
You create and maintain necessary regulatory documentation.
You comply with regulatory requirements for the state.
You provide documents and reports as needed to maintain compliance with laws.
You maintain historical records and documents as needed/required.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You treat others with respect and dignity.
You include others in the decision making processes.
You respect the opinions of other employees.
You support the efforts of other employees in implementing solutions to problems.
You form working relationships with employees from other departments.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You provide budgeting and accounting support to the Company.
You develop of the department's annual budget.
You ensure others follow the correct rules and regulations on fiscal matters.
You keep excellent records for financial transparency.
You are effective in using company's resources.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You are comfortable using teleconferencing equipment to facilitate meetings with others abroad.
You understand how cultures differ and how these differences impact work behavior.
You form strong client relationships with international partners.
You create an environment where individual differences are valued and supported.
You work well with others from different cultural backgrounds.

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.