Supervisory Skills - 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

Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You are aware of the unique strengths of each employee.
You promote teamwork and cooperation within the department.
You treat all staff equitably.
You resolve personnel problems quickly and effectively.
You encourage employees to achieve your full potential.
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You maintain an efficient schedule of activities.
You arrive to meetings on time.
You conduct appointments at scheduled start time.
You start the workday when scheduled.
You avoid making personal phone calls during working hours.
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You recognize and value individual and cultural differences.
You seek out different viewpoints and benefits from different perspectives.
You show respect in daily interactions
You treat others with dignity and respect.
You value the opinions of diverse groups and individual.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You implement regulatory changes in a timely manner.
You offer training to employees to ensure they comply with regulations.
You ensure the company meets legal requirements/standards regarding employees.
You are aware of federal and local laws affecting employees.
You comply with regulatory requirements for the state.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You understand how decisions impact other business units beyond your immediate department of work group.
You attend [Company] gatherings and social events.
You understand the use of [Company] products and services.
You impress upon others the important aspects of [Company].
You follow existing procedures and processes.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You monitor expenses and verify the need for items purchased.
You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.
You develop budgets and plans for various programs and initiatives.
You develop of the department's annual budget.
You provide budgeting and accounting support to the Company.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You understand and appreciate the perspectives offered by others with different cultural backgrounds.
You are comfortable using teleconferencing equipment to facilitate meetings with others abroad.
You form strong client relationships with international partners.
You demonstrate working knowledge of global transactions.
You are able to listen and understand others and discuss issues in a respectful way.

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.