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 allow employees to fully participate in employee training and professional development.
You seek opportunities for continuous learning.
You quickly acquire and apply new knowledge and skills when needed
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
You keep yourself up-to-date of technical/professional issues
Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You assess current capabilities before committing to new requests from customers.
You can multitask while performing all of your other responsibilities and activities.
You rank the importance of tasks to make sure critical tasks are completed first.
You coordinate the work of a team by assigning tasks to other team members.
You organize tasks for the most efficient order of completion.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You embrace new technology and procedures.
You inspire others to learn new things.
You are open to feedback from others.
You exhibit willingness to upgrade skills through additional training and education.
You will participate in training classes even if offered outside of normal working hours.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I ensure the company is in compliance with all laws regarding the production and transportation of product.
I implement regulatory compliance strategies.
You perform regular compliance audits.
I create and implement training courses for new hires to ensure knowledge of regulations and policies.
I review transactions for potential misconduct.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You consistently demonstrate ability and willingness to trust others.
You respect the opinions of other employees.
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 spending.
You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.
You develop budgets and plans for various programs and initiatives.
You are effective in using company's resources.
You develop of the department's annual budget.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You demonstrate a curiosity about diverse individuals and cultures.
You align personal vision with global strategies.
You set the example for team on importance of cultural awareness.
You attend training seminars and conferences to increase skills in working with others globally.
You exemplify the skills of a global worker.

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.