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
I inform employees of what tasks need to be completed on each shift.
I always remain calm and professional even in stressful situations.
You delegate effectively.
I spend time to actively listen to the grievance.
I provide feedback that is aligned with performance expectations.
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You invoice clients on a timely basis.
You start the workday when scheduled.
You arrive to meetings on time.
You maintain an efficient schedule of activities.
You conduct appointments at scheduled start time.
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I am willing to include individuals with different cultural backgrounds on the team.
I seek knowledge and information about other cultures.
I seek clarification to avoid misunderstandings.
You understand how your own cultural background can impact the way you communicate and interact with others.
You understand what customs and etiquette are important for individuals from other cultures.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You provide documents and reports as needed to maintain compliance with laws.
I review transactions for potential misconduct.
I ensure appropriate followup for regulatory violations.
I review documentation, processes and practices.
You keep informed of various regulations and procedures.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You understand the "basics" as to how [Company] functions/operates.
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 understand how decisions impact other business units beyond your immediate department of work group.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You ensure others follow the correct rules and regulations on fiscal matters.
You monitor expenses and verify the need for items purchased.
You monitor spending.
You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.
You develop budgets and plans for various programs and initiatives.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You engage in problem solving with individuals outside of the country.
You demonstrate a curiosity about diverse individuals and cultures.
You understand global systems such as the global economy.
You are able to work with individuals having different backgrounds and cultures.
You collaborate with others respectfully and effectively with other people regardless of differences in cultural backgrounds.

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.