Professional Development - 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Professional Development:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)

You have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the assessment form, please think about your experiences working with this individual during the last six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .

Continual Improvement

Agree Unsure Disagree N/A
  1. Promotes training and development opportunities to enhance job performance.
  1. Open to the suggestions from others.
  1. Looks for ways to expand and learn new job skills.
  1. Looks for ways to improve work processes and procedures.
  1. Looks for ways to expand current job responsibilities.

Professional Development

Agree Unsure Disagree N/A
  1. Quickly acquire and apply new knowledge and skills when needed
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. Contributing fully to the extent of their skills
  1. Encourages employees to take courses relevant to their job.
  1. Seeks opportunities for continuous learning.


Agree Unsure Disagree N/A
  1. Conducts appointments at scheduled start time.
  1. Maintains an efficient schedule of activities.
  1. Responds to requests for information in a timely manner.
  1. Arrives to meetings on time.
  1. Avoids making personal phone calls during working hours.

Cultural Awareness

Agree Unsure Disagree N/A
  1. Treats others with dignity and respect.
  1. Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
  1. Values the opinions of diverse groups and individual.
  1. Fosters a diverse workforce free from discrimination and harassment.
  1. Recognizes and values individual and cultural differences.


Agree Unsure Disagree N/A
  1. Suggests new ideas at meetings.
  1. Challenges current procedures to develop other alternatives.
  1. Analyzes current procedures and identifies opportunities for improvement.
  1. Implements best practices within the department.
  1. Builds upon the ideas and solutions of others.


Agree Unsure Disagree N/A
  1. Effective in incorporating new ideas.
  1. Identifies new opportunities to achieve goals
  1. Acts decisively in frequently changing and uncertain environment.
  1. Adapts to circumstances as needed.
  1. Able to adapt to new situations.

Bias for Action

Agree Unsure Disagree N/A
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Identifies ways to simplify work processes and reduce cycle times
  1. Displays high energy and enthusiasm on consistent basis.
  1. Encourages risk taking and experimentation to improve performance
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).

Time Management

Agree Unsure Disagree N/A
  1. Leaves time in the schedule for unplanned contingencies.
  1. Does not procrastinate.
  1. Sets clearly defined goals.
  1. Focuses on tasks that have high priority.
  1. Uses agendas when chairing or facilitating meetings.


Agree Unsure Disagree N/A
  1. Assures [Company] principles are understood, employed & pursued.
  1. Encourages me to take on greater responsibility.
  1. Establishes goals and objectives.
  1. Effectively organizes resources and plans
  1. Able to organize work.


Agree Unsure Disagree N/A
  1. Able to say "no" when it is essential to maintaining quality and high standards.
  1. Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
  1. Is able to decline bad ideas to avoid making poor decisions.
  1. Leverages relationships with others to achieve goals.
  1. Influences others through rational argument and persuasion.


Agree Unsure Disagree N/A
  1. Readily shares credit and gives others opportunity for visibility.
  1. Reinforces and rewards employees for accomplishing necessary goals.
  1. Is sincerely interested in the suggestions of co-workers
  1. Recognizes team members who offer a significant contribution to a project.
  1. Offers recognition in a timely manner.

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.