Professional Development - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Edit this Survey

Would you like to edit this survey? Click here to begin.

Professional Development	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Contributing fully to the extent of their skills
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Keep themselves up-to-date of technical/professional issues
Quickly acquire and apply new knowledge and skills when needed
Allows employees to fully participate in employee training and professional development.
Seeks opportunities for continuous learning.
Seeks opportunities for professional development.
Encourages employees to take courses relevant to their job.
If [Participant Name] were to make improvements in Professional Development, what are your suggestions for how he/she can improve this?
Self Management	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Uses patience and self-control in working with customers and associates.
Steps away from a situation to process appropriate response.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Does not allow own emotions to interfere with the performance of others.
If [Participant Name] were to make improvements in Self Management, what are your suggestions for how he/she can improve this?
Quality	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Effectively works with Quality Control (QC) engineers.
Is flexible in addressing issues related to quality.
Adjusts processes or procedures to improve quality results.
Identifies strategies and their associated risks to improve quality.
Promotes an environment that fosters quality and safety.
Communicates quality standards clearly.
If [Participant Name] were to make improvements in Quality, what are your suggestions for how he/she can improve this?
Commitment	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Builds a culture where employees embrace shared values as the foundation for productivity.
Elevates customer experiences by cultivating employee expertise and loyalty to organizational goals.
Seeks to obtain institutional commitment for the department's initiatives.
Focuses efforts on the most impactful commitments rather than scattering energy.
Strengthens employee dedication to applying their skills in service of organizational goals.
Is committed to the process even if the results are not registered for some time.
If [Participant Name] were to make improvements in Commitment, what are your suggestions for how he/she can improve this?
Safety	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Is not afraid to question a potential safety issue observed in the workplace.
Keeps accurate safety records.
Develops safety guidelines for the department.
Participates in safety training when available.
Participates in safety training when offered.
Is aware of OSHA safety guidelines.
If [Participant Name] were to make improvements in Safety, what are your suggestions for how he/she can improve this?
Collaboration	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Encourages diversity of opinions and ideas.
Uses effective strategies to re-engage team members and secure their commitment to the business's common good.
Create an environment where collaboration and teamwork is encouraged.
Willing to work with others to solve problems.
Collaborates to manage interpersonal disputes with a positive approach.
Devotes time and energy to empower the team to succeed.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Customer Focus	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Sets an example for excellent customer relations.
Able to handle difficult customers.
Is pro-active in dealing with customers and addressing their needs.
Collaborates with teammates to resolve customer issues.
Takes time to explain options clearly and ensures the customer feels informed.
Persistent in solving customer issues.
If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?

45. Strengths
    
    
    
46. Areas for Development
    
    
    
47. Please give any final comments or suggestions for [Participant Name Here]'s assessment.