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 provide feedback referencing specific instances or examples of behaviors.
I am successful in resolving personnel conflicts.
I enhance teamwork through good supervision.
I allow employees to make their own decisions.
You review performance against established measures.
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You avoid making personal phone calls during working hours.
You respond to requests for information in a timely manner.
You invoice clients on a timely basis.
You arrive to meetings on time.
You start the workday when scheduled.
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You are aware of the similarities and differences among and between cultural groups.
I develop skills and attitudes to bridge cultural differences.
You respect the views offered by individuals with different cultural backgrounds.
You are willing to work with employees who have different cultural backgrounds.
You communicate with others without the influence of racism.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You offer training to employees to ensure they are complying with regulations.
You keep track of changes in legislation affecting regulatory compliance.
You are aware of the documents and reports needed to maintain compliance with regulations.
I review documentation, processes and practices.
I ensure appropriate followup for regulatory violations.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You impress upon others the important aspects of [Company].
You understand how decisions impact other business units beyond your immediate department of work group.
You follow existing procedures and processes.
You understand the "basics" as to how [Company] functions/operates.
You attend [Company] gatherings and social events.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You are effective in using company's resources.
You develop of the department's annual budget.
You ensure others follow the correct rules and regulations on fiscal matters.
You provide budgeting and accounting support to the Company.
You develop budgets and plans for various programs and initiatives.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You cooperate with others on a global scale.
You are able to listen and understand others and discuss issues in a respectful way.
You develop both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
You form strong client relationships with international partners.
You volunteer for experiences and assignments abroad.

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.