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)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)

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.

Sample Result Document:
Sample Results
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. Looks for ways to improve work processes and procedures.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Analyzes processes to determine areas for improvement.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Open to the suggestions from others.

Professional Development

Agree Unsure Disagree N/A
  1. Allows employees to fully participate in employee training and professional development.
  1. Contributing fully to the extent of their skills
  1. Encourages employees to take courses relevant to their job.
  1. Seeks opportunities for professional development.
  1. Quickly acquire and apply new knowledge and skills when needed


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

Cultural Awareness

Agree Unsure Disagree N/A
  1. Recognizes and values individual and cultural differences.
  1. Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
  1. Fosters a diverse workforce free from discrimination and harassment.
  1. Encourages a work environment where individual differences are valued.
  1. Respects others regardless of age, race, gender, nationality, or disability.


Agree Unsure Disagree N/A
  1. Suggests new ideas at meetings.
  1. Analyzes current procedures and identifies opportunities for improvement.
  1. Fosters a creative and innovative work environment.
  1. Encourages open communication to ensure that all proposals are considered.
  1. Solves problems with insight and understanding.


Agree Unsure Disagree N/A
  1. Identifies new opportunities to achieve goals
  1. Is open to alternative ways to accomplish goals
  1. Adapts to new organizational structures, policies, or procedures.
  1. Effective in incorporating new ideas.
  1. Encourages others to adopt new procedures.

Bias for Action

Agree Unsure Disagree N/A
  1. Completes work on time
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
  1. Encourages risk taking and experimentation to improve performance
  1. Seeks and utilizes opportunities for continuous learning and self-development.

Time Management

Agree Unsure Disagree N/A
  1. Does not procrastinate.
  1. Avoids distractions in the workplace.
  1. Makes time for developing plans and schedules.
  1. Focuses on tasks that have high priority.
  1. Leaves time in the schedule for unplanned contingencies.


Agree Unsure Disagree N/A
  1. Sets long-term and short-term goals.
  1. Organizes and schedules events, activities, and resources.
  1. Able to organize work.
  1. Encourages me to take on greater responsibility.
  1. Effectively organizes resources and plans


Agree Unsure Disagree N/A
  1. Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
  1. Identifies verbal and nonverbal cues to help interpret actions and messages.
  1. Able to say "no" when it is essential to maintaining quality and high standards.
  1. Establishes good working relationships with others.
  1. Able to influence others to accept certain positions.


Agree Unsure Disagree N/A
  1. Finds opportunities to recognize others.
  1. Recognizes the abilities and skills of self and others
  1. Reinforces and rewards employees for accomplishing necessary goals.
  1. Makes people around them feel appreciated and valued.
  1. Recognizes team members who offer a significant contribution to a project.

  1. Overall, please rate the effectiveness of [Participant Name Here].

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.